Individual
JAMES DAVID NENCKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(262) 251-7500
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11019-33
WI
363LF0000X
Family Nurse Practitioner
11019-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100186200
—
WI
Enumeration date
06/17/2021
Last updated
11/17/2024
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