Individual
LINSEY DEMASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8735-033
WI
363LN0000X
Neonatal Nurse Practitioner
8735
WI
363LP0222X
Critical Care Pediatric Nurse Practitioner
AP129493
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100082161
—
WI
Enumeration date
11/03/2015
Last updated
10/22/2024
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