Individual
RACHEL ANN WANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2000
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 266-2000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
167586-30
WI
363L00000X
Nurse Practitioner
Primary
5747-33
WI
363LP0200X
Pediatric Nurse Practitioner
0035344
OH
363LP0200X
Pediatric Nurse Practitioner
5747
WI
363LP0200X
Pediatric Nurse Practitioner
95015794
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1063847150
—
CA
05
—
1063847150
—
WI
Enumeration date
09/07/2013
Last updated
01/14/2025
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