Courtney Q Recknagel, APNP
Nurse Practitioner in Milwaukee, WI. Individual provider (NPI-1).
NPI number1013662733
StatusActive
Last updated in NPPESApr 14, 2022
Details
- NPI
- 1013662733
- Entity type
- Individual (NPI-1)
- Name
- Courtney Q Recknagel
- Credential
- APNP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 22, 2022
- Certification date
- Apr 14, 2022
- Last updated
- Apr 14, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 11827-33 | WI | Yes |
| 163W00000X | Registered Nurse | 195521-30 | WI |
Practice location
2901 W Kinnickinnic River PkwyMilwaukee, WI 53215-3677
Phone 414-649-3780
Mailing address
3301 W Forest Home AveMilwaukee, WI 53215-2843
Phone 146-493-7804
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