Gastineau, Elizabeth

Gastineau, Elizabeth is an individual health care provider with primary practice located at 12901 W National Ave , New Berlin WI 53151-4063. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gastineau, Elizabeth can be contacted via phone (262) 787-5200.

Contact Information

Primary practice address
12901 W National Ave New Berlin WI 53151-4063
Phone: (262) 787-5200
Fax: (262) 787-5299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 8877-33 Wisconsin

Profile Details

NPI number 1376197574
LBN Legal business name Gastineau, Elizabeth
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2019
Last updated Feb 6th, 2026 - about 9 months 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 1376197574 NPPES
Wisconsin MEDICAID 100097990

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