Individual
MS. DEBORAH A ANDRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN N
Contact information
Practice address
9200 W WISCONSIN AVE, GENERAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5800
(414) 890-5580
Mailing address
9200 W WISCONSIN AVE, GENERAL SURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5800
(414) 890-5580
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
66138
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000018515O
HUMANA
—
05
—
1306897814
—
WI
05
—
43881300
—
WI
Enumeration date
05/12/2006
Last updated
10/22/2012
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