ANDREA PANKRATZ (NPI# 1669739025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669739025 |
| Entity Type | Individual |
| Full Name | ANDREA PANKRATZ |
| Credential | WHNP-BC |
| Practice Address |
1015 W Burbank Ave Janesville WI 53546-6154 |
| Practice Telephone | 6087552438 |
| Practice Fax Number | 6087552446 |
| Mailing Telephone | 6087552438 |
| Mailing Fax Number | 6087552446 |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2015-06-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
156864-30 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 391052077 | 05 |
| Street Address |
1015 W BURBANK AVE |
| City | JANESVILLE |
| State | WI |
| Zip Code | 53546-6154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508839150 | Community Action Inc of Rock & Walworth County | Clinic/Center | 1015 W Burbank Ave, Janesville, WI 53546-6154 | 2006-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366911489 | Latoya Christina Anderson | Counselor | 1818 Pershing Pl, Janesville, WI 53546 | 2018-11-19 |
| 1922599216 | Megan Arney | Speech-Language Pathologist | 9680, 4445 Woodgate Dr., Janesville, WI 53546 | 2018-05-23 |
| 1770089955 | Abby Marie Harnack | Registered Nurse | 3901 Teal Ln, Janesville, WI 53546 | 2018-04-05 |
| 1962773648 | Clark Carroll | Nurse Practitioner | 1820 Center Ave, Janesville, WI 53546 | 2012-01-26 |
| 1689983793 | Fve Mw LLC | Assisted Living Facility | 3801 North Wright Road, Janesville, WI 53546 | 2010-10-07 |
| 1831354794 | County of Rock County Clerk | Community/Behavioral Health | 3506 Hwy 51, Janesville, WI 53546 | 2008-07-21 |
| 1528225422 | Walgreen Co | Pharmacy | 2519 Kettering St, Janesville, WI 53546 | 2008-05-19 |
| 1447420351 | Michele Renee Bohland | Physical Therapy Assistant | 2540 Humes Rd, Janesville, WI 53546 | 2008-03-06 |
| 1093992158 | Emma Gene Harrell | Counselor | 203 W Sunny Lane, Janesville, WI 53546 | 2008-01-30 |
| 1457473696 | Robert Louis Fleming | Dentist | 910 Conde St, Janesville, WI 53546 | 2007-04-06 |
| Find all providers in zip 53546 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568508695 | Donna Lee Hays | Nurse Practitioner | 1015 Burbank Ave, Janesville, WI 53546-6154 | 2007-01-29 |
| 1295289122 | Olga Lester | Nurse Practitioner | 3400 E Racine St, Janesville, WI 53546-2344 | 2016-08-09 |
| 1760528228 | Lori Ann Richardson | Nurse Practitioner | 1015 Burbank Ave, Janesville, WI 53546-6154 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477103570 | Denyse F Jackson | Nurse Practitioner | 65 S Elm St, Platteville, WI 53818-3107 | 2019-09-19 |
| 1043668528 | Linda Helen Watson | Nurse Practitioner | 1828 E Main St, Suite 10, Onalaska, WI 54650-8780 | 2016-05-25 |
| 1033447594 | Wise Woman Wellness LLC | Nurse Practitioner | 1480 Swan Rd, De Pere, WI 54115-7966 | 2009-11-20 |
| 1457585721 | Laura Elizabeth Kwitek | Nurse Practitioner | 5543 E. Cheryl Parkway, Fitchburg, WI 53711 | 2009-05-14 |
| 1326210626 | Diane Marie Rundle | Nurse Practitioner | 96 Stoddart St, Beaver Dam, WI 53916-1306 | 2008-03-26 |
| 1730381401 | Margaret Mary Robertson | Nurse Practitioner | 3706 Orin Road, Madison, WI 53704 | 2007-06-04 |
| 1194939918 | Deirdre Vyvyan Fowler | Nurse Practitioner | 1710 S 7th St, Milwaukee, WI 53204-3538 | 2007-05-10 |
| 1194848903 | Britt Lapreil Wanta | Nurse Practitioner | 416 W Mifflin St, Madison, WI 53703-2502 | 2007-04-08 |
| 1538202262 | Pamela Charlene Prince | Nurse Practitioner | 949 N 9th St, Health Services Unit, Milwaukee, WI 53233-1422 | 2007-02-14 |
| 1962596536 | Angela Kay Fuller | Nurse Practitioner | 321 Butts Ave., Tomah Memorial Hospital, Tomah, WI 54660 | 2006-10-03 |
| Find all providers with the same taxonomy | ||||
| City | JANESVILLE |
| Zip Code | 53546 |
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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.