Walker Dupree, Deanne A
Walker Dupree, Deanne A is an individual health care provider with primary practice located at 1155 N Mayfair Rd , Wauwatosa WI 53226-3462. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Walker Dupree, Deanne A can be contacted via phone (414) 955-3853.Contact Information
Primary practice address
1155 N Mayfair Rd
Wauwatosa WI 53226-3462
Phone: (414) 955-3853
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 9166-33 | Wisconsin |
Profile Details
| NPI number | 1104387042 |
|---|---|
| LBN Legal business name | Walker Dupree, Deanne A |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 25th, 2019 |
| Last updated | May 23rd, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104387042 | NPPES |
| Wisconsin | MEDICAID | 1104387042 |
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