Individual
MS. DEBRA J MCCLURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233
(414) 219-2000
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 647-6326
(414) 671-8860
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
243-033
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
77126-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43316700
—
WI
Enumeration date
08/23/2006
Last updated
01/13/2020
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