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NPI Code Detail

MEDICARE: ANDREA E STURGEON APNP

MEDICARE: ANDREA E STURGEON APNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner8655-33WI

General Provider Information

NPI Number : 1942781133
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA E STURGEON APNP
Provider Business Mailing Address
First Line : 2207 W WISCONSIN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-1923
Country : US
Telephone Number : 414-931-8181
Fax Number :
Provider Business Practice Location Address
First Line : 2207 W WISCONSIN AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-1923
Country : US
Telephone Number : 414-931-8181
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2018
Last Update Date : 06/28/2019

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Directions to “ ANDREA E STURGEON APNP” Practice Location

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