Retlick, Annessa F

Retlick, Annessa F is an individual health care provider with primary practice located at 6308 8Th Ave , Kenosha WI 53143-5031. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Retlick, Annessa F can be contacted via phone (414) 290-6720.

Contact Information

Primary practice address
6308 8Th Ave Kenosha WI 53143-5031
Phone: (414) 290-6720
Fax: (414) 290-6755
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 154719-30 Wisconsin

Profile Details

NPI number 1528372828
LBN Legal business name Retlick, Annessa F
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2010
Last updated Dec 27th, 2021 - about 3 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 1528372828 NPPES
Wisconsin Other P00940026 MEDICARE RAILROAD

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