Individual
MEGAN ELIZABETH WEGTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226
(414) 955-4170
(414) 955-6543
Mailing address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-4874
(414) 955-4170
(414) 955-6543
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041470355
IL
363LP0200X
Pediatric Nurse Practitioner
209018201
IL
363LP0200X
Pediatric Nurse Practitioner
Primary
9502
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1659855385
—
WI
Enumeration date
09/19/2018
Last updated
10/30/2019
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