Healthcare Provider Details

I. General information

NPI: 1043537293
Provider Name (Legal Business Name): DEBRA LYNN HEMPE RN/CDE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2010
Last Update Date: 04/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

950 N 12TH ST
MILWAUKEE WI
53233-1306
US

IV. Provider business mailing address

950 N 12TH ST
MILWAUKEE WI
53233-1306
US

V. Phone/Fax

Practice location:
  • Phone: 414-219-7956
  • Fax: 414-219-7150
Mailing address:
  • Phone: 414-219-7956
  • Fax: 414-219-7150

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WD0400X
TaxonomyDiabetes Educator Registered Nurse
License Number80503-30
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: