Roya Gandt
Nurse Practitioner - Neonatal
9000 W Wisconsin Ave
Milwaukee
, Wisconsin 53226
Roya Gandt
Nurse Practitioner - Neonatal
9000 W Wisconsin Ave
Milwaukee
, Wisconsin 53226
(414) 266-6979
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About
Features
Specialties
- Nurse Practitioner - Neonatal
Languages spoken
- English
Location
First Address
- Roya Gandt
- 9000 W Wisconsin Ave
- Milwaukee, WI
- Zip : 53226-4874
- Fax : (414) 266-6979
- Phone : (414) 266-6820
Second Address
- Roya Gandt
- 9000 W Wisconsin Ave
- Milwaukee, WI
- Zip : 53226
- Fax : (414) 266-6979
- Phone : (414) 266-6820
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Is Roya Gandt a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LN0000X | Nurse Practitioner - Neonatal | 9593 | WI |
National Provider Identifier
| NPI | 1023665924 |
|---|---|
| Provider Name | Roya Gandt |
| First Address | Milwaukee, WI 53226-4874 |
| Second Address | Milwaukee, WI 53226 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 25/08/2019 |
| Last Update Date | 13/01/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1023665924 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.