Etter, Nancy J

Etter, Nancy J is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Neurosurgery, Milwaukee WI 53226-4874. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Etter, Nancy J can be contacted via phone (414) 266-6435.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Neurosurgery Milwaukee WI 53226-4874
Phone: (414) 266-6435
Fax: (414) 955-0131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 298 Wisconsin

Profile Details

NPI number 1053362947
LBN Legal business name Etter, Nancy J
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2006
Last updated Dec 19th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053362947 NPPES
Wisconsin MEDICAID 1053362947
Wisconsin Other 000011354

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