Individual
MS. DEANNE A WALKER DUPREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-3853
Mailing address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
9166-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104387042
—
WI
Enumeration date
03/25/2019
Last updated
05/23/2019
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