Individual provider · NPI-1
Jennifer Fritchen
Registered Nurse, General Practice · Waukesha, WI
NPI number1306439310
StatusActive
Last updated in NPPESFeb 19, 2021
Details
- NPI
- 1306439310
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Fritchen
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 19, 2021
- Certification date
- Feb 19, 2021
- Last updated
- Feb 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 23376-30 | WI | Yes |
Practice location
1405 Rockridge Rd Apt 149Waukesha, WI 53188-2893
Phone 262-930-6099
Mailing address
1405 Rockridge Rd Apt 149Waukesha, WI 53188-2893
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