Fedel, Patrice Renee

Fedel, Patrice Renee is an individual health care provider with primary practice located at 2901 W Kinnickinnic River Pkwy 403, Milwaukee WI 53215-3677. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Fedel, Patrice Renee can be contacted via phone (414) 385-2592.

Contact Information

Primary practice address
2901 W Kinnickinnic River Pkwy 403 Milwaukee WI 53215-3677
Phone: (414) 385-2592
Fax: (414) 385-2591
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 5679 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5679-033 Wisconsin

Profile Details

NPI number 1881132199
LBN Legal business name Fedel, Patrice Renee
Credentials Clinical Nurse Specialist (CNS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2017
Last updated Apr 26th, 2024 - about 8 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1881132199 NPPES
Wisconsin MEDICAID 100064550

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