Doctor Name: | DEBRA J CASPER |
NPI Number: | 1003870064 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 2702-033 |
Business Practice Address: | W180n8085 Town Hall Rd Menomonee Falls, WI - 530513518 |
Business Phone Number: | 2622573510 |
Business Fax Number: | |
Mailing Address: | N66w30833 Red Fox Run, HARTLAND |
State: | WI |
Postal Code: | 530299290 |
Phone Number: | 2623690068 |
Fax Number: | |
NPI Enumeration Date: | 04/14/2006 |
NPI Last Update Date: | 06/17/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2100X |
License Number: | 2702-033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Acute Care |
Taxonomy Definition: |