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NPI Code Detail

MEDICARE: MRS. JODI LEIGH DREIER APNP

MEDICARE: MRS. JODI LEIGH DREIER 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
1363L00000XNurse Practitioner1534-033WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1112882-30OTHERWIWI REGISTERED NURSE
21534-33OTHERWIAPNP

General Provider Information

NPI Number : 1588725436
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JODI LEIGH DREIER APNP
Provider Business Mailing Address
First Line : 7330 W LAYTON AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53220-3849
Country : US
Telephone Number : 414-817-8896
Fax Number : 414-817-8940
Provider Business Practice Location Address
First Line : 7330 W LAYTON AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53220-3849
Country : US
Telephone Number : 414-817-8896
Fax Number : 414-817-8940
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2006
Last Update Date : 12/10/2019

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