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ALTHEA DANAE DYKIEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
2350 N LAKE DR STE 400, MILWAUKEE, WI 53211-4528
(414) 271-1633
Mailing address
2350 N LAKE DR STE 400, MILWAUKEE, WI 53211-4528
(414) 271-1633

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209.018129
IL
363LA2200X
Adult Health Nurse Practitioner
209018129
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
209018129
IL
01
MD5062853
DEA
IL
Enumeration date
09/13/2018
Last updated
07/12/2024
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