Jrnka, Gretchen E

Jrnka, Gretchen E is an individual health care provider with primary practice located at 2422 North Grandview Blvd , Waukesha WI 53188. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Jrnka, Gretchen E can be contacted via phone (262) 549-6600.

Contact Information

Primary practice address
2422 North Grandview Blvd Waukesha WI 53188
Phone: (262) 549-6600
Fax: (262) 549-6698
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X Wisconsin

Profile Details

NPI number 1417161100
LBN Legal business name Jrnka, Gretchen E
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2007
Last updated Jul 8th, 2007 - about 17 years 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 1417161100 NPPES
Wisconsin MEDICAID 42025900

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