COLLEEN MROTEK (NPI# 1295334670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295334670 |
| Entity Type | Individual |
| Full Name | COLLEEN MROTEK |
| Credential | APNP |
| Practice Address |
1111 Delafield St Ste 219 Waukesha WI 53188-3403 |
| Mailing Address |
2637 E Henry Ave Cudahy WI 53110-2821 |
| Practice Telephone | 2622397070 |
| Mailing Telephone | 4144696366 |
| Enumeration Date | 2020-10-18 |
| Last Update Date | 2020-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
F06202393 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1111 DELAFIELD ST STE 219 |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-3403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003324617 | Village Primary Care Providers LLC | Nurse Practitioner | 1111 Delafield St Ste 219, Waukesha, WI 53188-3403 | 2018-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1639648769 | Amy J Anderson | Nurse Practitioner | 721 American Ave Ste 310, Waukesha, WI 53188-5071 | 2018-11-19 |
| 1891232922 | Sarah Applebey | Nurse Practitioner | 3324 Fox Ridge Dr, Waukesha, WI 53189-6807 | 2017-01-26 |
| 1013452150 | Danielle Marie Bernacchi | Nurse Practitioner | W308s2809 Wild Berry Ct, Waukesha, WI 53188-9105 | 2016-12-28 |
| 1518416106 | Erica Soule Linn | Nurse Practitioner | 1708 Paramount Ct, Waukesha, WI 53186-3967 | 2016-09-24 |
| 1316398589 | Dina Paulette Sotola | Nurse Practitioner | 2428 N Grandview Blvd Ste 102, Waukesha, WI 53188-6906 | 2016-06-28 |
| 1982065991 | Brandon James Decker | Nurse Practitioner | 21775 Hillcrest Drive, Waukesha, WI 53186 | 2016-03-18 |
| 1659732790 | Rebecca A Bott | Nurse Practitioner | 1111 Delafield St Ste 218, Waukesha, WI 53188-3403 | 2016-03-17 |
| 1063850246 | Tracey Sue Kochanski | Nurse Practitioner | 1130 W Sunset Ave, Waukesha, WI 53189 | 2013-06-10 |
| 1992040257 | Joann Louise Browne | Nurse Practitioner | 1111 Delafield St Ste 19, Waukesha, WI 53188-3417 | 2012-11-27 |
| Find all providers in WAUKESHA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.