Organization
NEPHROLOGY TELEHEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER CHRISTMAN MBA (ADMINISTRATOR)
(262) 524-1024
Entity
Organization
Contact information
Practice address
1260 SENTRY DR STE 140, WAUKESHA, WI 53186-5990
(262) 524-1024
Mailing address
1260 SENTRY DR STE 140, WAUKESHA, WI 53186-5990
(262) 524-1024
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363LA2200X
Adult Health Nurse Practitioner
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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