Healthcare Provider Details

I. General information

NPI: 1275459133
Provider Name (Legal Business Name): GAYL PATRICIA WARD R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/25/2026
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

N68W28460 SUSSEX RD
HARTLAND WI
53029-9611
US

IV. Provider business mailing address

N68W28460 SUSSEX RD
HARTLAND WI
53029-9611
US

V. Phone/Fax

Practice location:
  • Phone: 262-538-2227
  • Fax: 262-538-3937
Mailing address:
  • Phone: 262-538-2227
  • Fax: 262-538-3937

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number138674-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: