Individual
DONNA CHRISTINE ERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
840 N 87TH ST, MILWAUKEE, WI 53226-3586
(414) 805-6444
(414) 805-6702
Mailing address
840 N 87TH ST, MILWAUKEE, WI 53226-3586
(414) 805-6444
(414) 805-6702
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
223054-8
MN
363L00000X
Nurse Practitioner
APN.0993738-NP
CO
363LA2200X
Adult Health Nurse Practitioner
Primary
9332
WI
363LA2200X
Adult Health Nurse Practitioner
APN.0993738-NP
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801297973
—
WI
Enumeration date
09/09/2014
Last updated
07/19/2019
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