Individual
ANDREA PANKRATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
1313 FISH HATCHERY RD, MADISON, WI 53715-1911
(608) 252-8000
(608) 283-7354
Mailing address
1313 FISH HATCHERY RD, MADISON, WI 53715-1911
(608) 252-8000
(608) 283-7354
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
156864-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
391052077
—
WI
Enumeration date
04/23/2012
Last updated
04/06/2021
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