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NPI Code Detail

MEDICARE: TRENAYE NETTERVILLE

MEDICARE:   TRENAYE  NETTERVILLE
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
1252Y00000XEarly Intervention Provider Agency

General Provider Information

NPI Number : 1730023177
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRENAYE NETTERVILLE
Provider Business Mailing Address
First Line : 4335 N 70TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-1167
Country : US
Telephone Number : 414-704-4837
Fax Number :
Provider Business Practice Location Address
First Line : 4335 N 70TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-1167
Country : US
Telephone Number : 414-704-4837
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

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Directions to “ TRENAYE NETTERVILLE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.