MEDICARE: MRS. CHARLENE ANN WERNER MSN APNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	109824030	WI
2	363LF0000X	Family Nurse Practitioner	1245033	WI

General Provider Information

NPI Number	:	1538271242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHARLENE ANN WERNER MSN APNP

Provider Business Mailing Address
First Line	:	9455 W WATERTOWN PLANK RD
Second Line	:	MILWAUKEE COUNTY BEHAVIORAL HEALTH DIVISION
City	:	MILWAUKEE
State	:	WI
Zip	:	53226-3559
Country	:	US
Telephone Number	:	414-257-6995
Fax Number	:

Provider Business Practice Location Address
First Line	:	9455 W WATERTOWN PLANK RD
Second Line	:	MILWAUKEE COUNTY BEHAVIORAL HEALTH DIVISION
City	:	MILWAUKEE
State	:	WI
Zip	:	53226-3559
Country	:	US
Telephone Number	:	414-257-6995
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	09/30/2008

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