Individual
THERESA A DACHEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
451 JUNCTION RD, MADISON, WI 53717-2656
(608) 265-7550
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2680-033
WI
363LG0600X
Gerontology Nurse Practitioner
2680-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41278600
—
WI
Enumeration date
07/01/2006
Last updated
04/06/2011
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