Individual provider · Type 1 NPI

Julie Pendergast, RN

Addiction (Substance Use Disorder) Registered Nurse · West Milwaukee, WI

NPI number 1801204052 Active

Practice location

11390 W Theodore Trecker Way
West Milwaukee, WI 53214-1135

Fax (414) 328-1402

Other practice locations

  • 1610 Miller Park Way, West Milwaukee, WI 53214-3604 · (414) 672-3801

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X221281-30 (WI)
Addiction (Substance Use Disorder) Registered Nurse Primary 163WA0400X221282 (WI)

Addiction (Substance Use Disorder) Registered Nurse: Definition to come...

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About NPI 1801204052

Julie Pendergast, RN's National Provider Identifier is 1801204052, issued on Jul 31, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Registered Nurse (163WA0400X), and the practice location is in West Milwaukee, WI. The record was last updated on Sep 23, 2020.