Healthcare Provider Details

I. General information

NPI: 1336218957
Provider Name (Legal Business Name): BETTE L FRANGESCH RN GNP APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13105 E WATERTOWN PLANK RD UNITE THERESA 2
ELM GROVE WI
53122
US

IV. Provider business mailing address

620 FLORENCE DRIVE
ELM GROVE WI
53122
US

V. Phone/Fax

Practice location:
  • Phone: 262-754-4481
  • Fax:
Mailing address:
  • Phone: 262-797-8222
  • Fax: 262-797-0740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number1088033
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: