Doctor Name: | NANCY M PLATTA |
NPI Number: | 1215127006 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | 2157 |
Business Practice Address: | 208 S Century Ave Waunakee, WI - 535971250 |
Business Phone Number: | 6088497891 |
Business Fax Number: | 6088497126 |
Mailing Address: | 7974 Uw Health Ct, MIDDLETON |
State: | WI |
Postal Code: | 535625531 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/27/2007 |
NPI Last Update Date: | 04/29/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 2157 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |