Individual
MICHELLE ANN DEPA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CRNA
Contact information
Practice address
8901 W LINCOLN AVE, WEST ALLIS, WI 53227-2409
(414) 328-7200
(414) 328-8158
Mailing address
4025 N 92ND ST, WAUWATOSA, WI 53222
(414) 358-5431
(414) 358-5421
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
127713-030
WI
367500000X
Certified Registered Nurse Anesthetist
202988
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100008840
—
WI
01
—
61045
DEAN HEALTH INSURANCE
WI
Enumeration date
09/26/2006
Last updated
12/04/2025
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