GRETCHEN LOUISE GRENCER-LIEGEL


Address: 1555 N Rivercenter Dr Ste 205, Milwaukee, WI 53212-3958
Phone: 4149635641

GRETCHEN LOUISE GRENCER-LIEGEL (NPI# 1467922948) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467922948
Entity Type Individual
Full Name GRETCHEN LOUISE GRENCER-LIEGEL
Credential NP
Practice Address 1555 N Rivercenter Dr Ste 205
Milwaukee
WI 53212-3958
Mailing Address 21009 9th St
Kansasville
WI 53139-9652
Practice Telephone 4149635641
Mailing Telephone 2628061119
Enumeration Date 2018-11-28
Last Update Date 2018-11-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LF0000X Nurse Practitioner
Specialization: Family
8910-33 WI Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
WI STATE OF WISCONSIN APNP LICENSE 8910-33 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
21009 9th St, Kansasville, WI 531399652 2628061119

Office Location

Street Address 1555 N RIVERCENTER DR STE 205
City MILWAUKEE
State WI
Zip Code 53212-3958

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1710447701 Scott William Stauder Student in an Organized Health Care Education/Training Program 1121 E. North Ave., Milwaukee, WI 53212 2019-03-25
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1801494778 Tajana Jovicic Nurse Practitioner 3157 S 66th St, Milwaukee, WI 53219-4105 2020-10-13
1093320459 Tyronda T Gray Nurse Practitioner 5833 N 117th St, Milwaukee, WI 53225-2207 2020-09-12
1861005837 Clair Roser Rivera Nurse Practitioner 3734 W Ohio Ave, Milwaukee, WI 53215-4047 2020-08-28
1760003909 Mary Esson Nurse Practitioner 100 N 75th St, Milwaukee, WI 53213-3516 2020-04-28
1487297271 Mackenna Leslie Hill Nurse Practitioner 11002 W Park Pl, Milwaukee, WI 53224-3615 2019-10-24
1093276040 Danielle L Laczniak Nurse Practitioner 3070 N 51st St Fl 6, Milwaukee, WI 53210-1645 2019-03-30
1871066506 Lisa Ann Parker Nurse Practitioner 3237 S 16th St # 208, Milwaukee, WI 53215-4526 2019-01-04
1871074385 Mary Teresa Falk Nurse Practitioner 2350 N Lake Dr Ste 306, Milwaukee, WI 53211-4528 2018-08-23
1831685395 Cassie Kaur Dundon Nurse Practitioner 8615 W Center St Apt 1, Milwaukee, WI 53222-4761 2018-07-09
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Competitor

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City MILWAUKEE
Zip Code 53212

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Dataset Information

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.

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