Individual
RISA ANN DENTICI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-1292
(414) 385-8721
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
125006-030
WI
363L00000X
Nurse Practitioner
Primary
1517
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100003796
—
WI
Enumeration date
12/12/2006
Last updated
02/05/2026
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