Healthcare Provider Details

I. General information

NPI: 1922195403
Provider Name (Legal Business Name): PATRICIA STRIGHT NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5000 W NATIONAL AVE
MILWAUKEE WI
53295-0001
US

IV. Provider business mailing address

2818 RAINTREE LN
WAUKESHA WI
53189-6827
US

V. Phone/Fax

Practice location:
  • Phone: 414-384-2000
  • Fax: 414-389-4198
Mailing address:
  • Phone: 262-446-3671
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPNP 1550-033
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: