Pendergast, Debra Marie

Pendergast, Debra Marie is an individual health care provider with primary practice located at 4202 W Oakwood Park Ct Ste 200 , Franklin WI 53132-9565. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Pendergast, Debra Marie can be contacted via phone (414) 423-5250.

Contact Information

Primary practice address
4202 W Oakwood Park Ct Ste 200 Franklin WI 53132-9565
Phone: (414) 423-5250
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 847-033 Wisconsin
Nursing Service Providers / Registered Nurse 163W00000X 65923-030 Wisconsin

Profile Details

NPI number 1992976286
LBN Legal business name Pendergast, Debra Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2008
Last updated Nov 30th, 2021 - about 5 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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