MARIE THERESE USTRUCK


Address: 16650 W Bluemound Rd, Brookfield, WI 53005-5920
Phone: 4147773754

MARIE THERESE USTRUCK (NPI# 1518441898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1518441898
Entity Type Individual
Full Name MARIE THERESE USTRUCK
Other Name MARIE THERESE RESCH
Credential FNP
Practice Address 16650 W Bluemound Rd
Brookfield
WI 53005-5920
Mailing Address 8706 Sadler Dr
Waterford
WI 53185-1506
Practice Telephone 4147773754
Mailing Telephone 2629391883
Enumeration Date 2018-09-21
Last Update Date 2018-09-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363L00000X Nurse Practitioner 8348-33 WI Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
W180n8085 Town Hall Rd, Menomonee Falls, WI 530513518 2622511000

Office Location

Street Address 16650 W BLUEMOUND RD
City BROOKFIELD
State WI
Zip Code 53005-5920

Providers in the same location

NPI Name Taxonomy Address Enumeration
1720025638 Charles F. Reuben Thoracic Surgery (Cardiothoracic Vascular Surgery) 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 2006-05-31
1295229805 Jessica Kuennen Physician Assistant 16650 W Bluemound Rd, Brookfield, WI 53005 2018-06-18
1144628033 Benjamin Alan Lacoursiere Physician Assistant 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 2014-12-09
1336573401 Kaitlin E Grady Physician Assistant 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 2013-08-26
1639402365 Wisconsin Heart Group Associates LLC Internal Medicine 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 2009-09-14
1295925576 Maria L Diener Physician Assistant 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 2007-08-01
1821207655 Lance Koji Hashimoto Dentist 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 2007-05-21
1770792293 Access Endodontics LLC Dentist 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 2007-05-21
1922217769 Sheila Elizabeth Stover Dentist 16650 W Bluemound Rd, 400, Brookfield, WI 53005-5920 2007-05-21
1841201514 Alexei Vasilievich Agapitov Internal Medicine 16650 W Bluemound Rd, Suite 200, Brookfield, WI 53005-5920 2006-08-10
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154937621 Nsk Precision Healing & Wellness Acupuncturist 17040 W. Greenfield Ave #6, Brookfield, WI 53005 2020-09-21
1033772124 Dbt Consultants LLC Social Worker 200 S. Executive Drive, Ste. 101, Brookfield, WI 53005 2019-04-15
1780142588 Ashley Wing Registered Nurse 405 Bishops Way, Apt 555, Brookfield, WI 53005 2019-03-11
1407370398 Tombolo, LLC Clinic/Center 12545 W. Burleigh Rd., Suite 10, Brookfield, WI 53005 2017-08-01
1720509045 Rss William Conner LLC Dentist 15455 W Bluemound Rd Ste 250, Brookfield, WI 53005 2017-06-28
1669926598 Mackenzie Rondeau Physical Therapist 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005 2016-08-09
1699159319 Charles Alan Kass Dentist 12720 W. North Avenue, Brookfield, WI 53005 2015-07-13
1164804274 Mary-catherine Nimphius Counselor 250 S. Sunny Slope Rd, #128, Brookfield, WI 53005 2015-06-25
1528447034 Weighless Md, LLC Dietitian, Registered 14960 W. Greenfield Ave Suite 104, Brookfield, WI 53005 2015-05-29
1366837346 Maegan Michelle Cook Dentist 13780 W Greenfield Ave Ste 780, Brookfield, WI 53005 2015-04-06
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1881206555 Suzanne Gleichauf Nurse Practitioner 7 Fleetwood Ln, Brookfield, CT 06804-3204 2020-08-23
1598132896 Aimee Schmitt Nurse Practitioner 13255 W Bluemound Rd Ste 103, Brookfield, WI 53005-6245 2015-08-21
1083960843 Lauren T Sullivan Nurse Practitioner 2995 N River Birch Dr, Unit H, Brookfield, WI 53045-3493 2012-07-31
1699007278 Catherine Frances Smith Nurse Practitioner 4329 Arthur Ave, Brookfield, IL 60513-2307 2010-02-05
1043548365 Lisa M Spannbauer Nurse Practitioner 2085 N Calhoun Road, Second Floor, Brookfield, WI 53005 2009-11-24
1336112952 Mary K Burke Nurse Practitioner 95 N Moorland Rd, Brookfield, WI 53005-6020 2006-02-13
1376537548 Michaela M Unrein Nurse Practitioner 1350 S Sunny Slope Rd, Sunnyslope Primary Care Clinic, Brookfield, WI 53005-7060 2005-09-02
1497352751 Jacquelyn M Madson Nurse Practitioner 2205 N Calhoun Rd, Brookfield, WI 53005-5062 2020-10-08
1194338145 Kristin Elatkin Nurse Practitioner 9139 Broadway Ave, Brookfield, IL 60513-1303 2020-08-28
1336798677 Camlinh Nguyen Roska Nurse Practitioner 9139 Broadway Ave, Brookfield, IL 60513-1303 2019-09-09
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Competitor

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City BROOKFIELD
Zip Code 53005

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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