Individual
TUTU MEKETE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
S74W16775 JANESVILLE RD, MUSKEGO, WI 53150-7742
(414) 773-4312
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13927
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
13927-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100257467
—
WI
Enumeration date
05/12/2023
Last updated
08/30/2024
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