Healthcare Provider Details

I. General information

NPI: 1679419758
Provider Name (Legal Business Name): DANA WORLD-PATTERSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4001 W CAPITOL DR
MILWAUKEE WI
53216-2530
US

IV. Provider business mailing address

PO BOX 11908
MILWAUKEE WI
53211-0908
US

V. Phone/Fax

Practice location:
  • Phone: 414-455-3879
  • Fax: 866-719-3024
Mailing address:
  • Phone: 414-698-4187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number8950-226
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: