ANNALYSE VICTORIA VICTOR


Address: N16w24131 Riverwood Dr, Cancer Center, Waukesha, WI 53188-1106
Phone: 2629300005

ANNALYSE VICTORIA VICTOR (NPI# 1932464468) 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) 1932464468
Entity Type Individual
Full Name ANNALYSE VICTORIA VICTOR
Other Name ANNALYSE VICTORIA KREGER
Credential MSN, APNP
Practice Address N16w24131 Riverwood Dr
Cancer Center
Waukesha
WI 53188-1106
Mailing Address W369s10410 Shearer Rd
Eagle
WI 53119-1719
Practice Telephone 2629300005
Mailing Telephone 2629300005
Enumeration Date 2012-07-11
Last Update Date 2018-12-28
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WX0200X Registered Nurse
Specialization: Oncology
17809930 WI Nursing Service Providers
N 363LF0000X Nurse Practitioner
Specialization: Family
6452 WI Physician Assistants & Advanced Practice Nursing Providers
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
6452-33 WI Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address N16W24131 RIVERWOOD DR
CANCER CENTER
City WAUKESHA
State WI
Zip Code 53188-1106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1942274055 Debra Muggler Internal Medicine N16w24131 Riverwood Dr, Pewaukee Clinic, Waukesha, WI 53188-1106 2006-02-15
1205482353 Michelle Willman Nurse Practitioner N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 2019-08-14
1245884121 Allysa Olson Genetic Counselor, MS N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 2019-07-29
1285133504 Kathleen Jane Bussen Physical Medicine & Rehabilitation N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 2018-02-02
1093231383 Abbigail Rose Brauch Physician Assistant N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 2017-08-17
1073068714 Savannah Shores Nurse Practitioner N16w24131 Riverwood Dr, Cancer Center, Waukesha, WI 53188-1106 2016-08-23
1326466186 Jeremiah Stromich Internal Medicine N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 2014-03-30
1083052690 Brian W Lee Dermatology N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 2013-06-06
1093058372 Jonathan Kapke Internal Medicine N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 2013-04-04
1821331307 Lisa Marie Stringer Nurse Practitioner N16w24131 Riverwood Dr, Waukesha, WI 53188-1106 2013-04-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1336787126 Nicole Lee Berg-johnson Nurse Practitioner 820 Crestwood Dr., Waukesha, WI 53188 2019-12-12
1013475706 Rachel Mueller Occupational Therapist 29667 Summit Ave, S11, Waukesha, WI 53188 2019-03-12
1861962649 Emily Elizabeth Seefeld Occupational Therapy Assistant 29667 Summit Ave S11, Waukesha, WI 53188 2018-12-05
1003393307 Ashley Susan Callahan Dental Hygienist 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 2018-07-19
1245741321 Melissa Weir Case Manager/Care Coordinator 514 Riverview Avenue, Waukesha, WI 53188 2017-10-17
1093233629 Patricia Marie Sombrio Dental Hygienist 711 Moreland Blvd 204, Waukesha, WI 53188 2017-09-04
1134660244 Bdg of Wisconsin, Inc. Behavioral Analyst N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 2017-03-09
1255888731 Lynne Sarah Alva Dental Hygienist 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 2016-09-01
1881069730 Michelle Koch Occupational Therapist 29667 Summit Ave. S11, Waukesha, WI 53188 2015-12-03
1952711012 Rhonda Schroeder Dental Hygienist W286 N991 Shepherds Way, Waukesha, WI 53188 2014-04-29
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1427678176 Cody Cameron Brunet Nurse Practitioner 1002 Bultman Rd, Madison, WI 53704-8933 2020-04-23
1023643434 Rochelle Allexia Codlyn Nurse Practitioner 2268 Manley Dr, Sun Prairie, WI 53590-9688 2020-03-05
1861953960 Youa Thao Nurse Practitioner 132 Devonshire Ct Apt 2, Plover, WI 54467-4194 2019-03-29
1053886465 Elizabeth A Jarecki Nurse Practitioner 3115 Lilly Rd Unit 209, Brookfield, WI 53005-7612 2018-10-11
1669862868 Jami Marie Lyons Nurse Practitioner 234 Cashman Dr, Chippewa Falls, WI 54729-3543 2015-01-27
1619374816 Melissa Kaye Miller Nurse Practitioner 710 W Starin Rd, Whitewater, WI 53190-1121 2014-12-03
1275703233 Mary Ellen Devine Touhey Nurse Practitioner N79w28630 Appaloosa Ln, Hartland, WI 53029-9038 2008-03-06
1366636797 Karen R. Sinnett Nurse Practitioner 125 W Nebraska St, Muscoda, WI 53573 2007-08-29
1508851239 Rita Marie Thomas Nurse Practitioner 910 Fremont St, 217 Delzell Hall, Uwsp, Stevens Point, WI 54481-3105 2005-09-19
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Competitor

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City WAUKESHA
Zip Code 53188

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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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