Healthcare Provider Details

I. General information

NPI: 1538279666
Provider Name (Legal Business Name): BARBARA ANN BERTE NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2015 E NEWPORT AVE SUITE 409
MILWAUKEE WI
53211-2984
US

IV. Provider business mailing address

2015 E NEWPORT AVE SUITE 409
MILWAUKEE WI
53211-2984
US

V. Phone/Fax

Practice location:
  • Phone: 414-259-3900
  • Fax: 414-963-0000
Mailing address:
  • Phone: 414-259-3900
  • Fax: 414-963-0000

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number65669-030
License Number StateWI
# 2
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number1509-033
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: