Healthcare Provider Details

I. General information

NPI: 1518079219
Provider Name (Legal Business Name): TERRENCE ARTHUR HESS NP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2006
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

4140 S ADELL AVE
NEW BERLIN WI
53151-5802
US

V. Phone/Fax

Practice location:
  • Phone: 414-384-2000
  • Fax:
Mailing address:
  • Phone: 262-827-1616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number82633-030
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: