Individual
MRS. PATRICE RENEE FEDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY, 403, MILWAUKEE, WI 53215-3677
(414) 385-2592
(414) 385-2591
Mailing address
2901 W KINNICKINNIC RIVER PKWY, 403, MILWAUKEE, WI 53215-3677
(414) 385-2592
(414) 385-2591
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5679-033
WI
364SG0600X
Gerontology Clinical Nurse Specialist
5679
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100064550
—
WI
Enumeration date
02/07/2017
Last updated
04/26/2024
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