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JULEE R RADTKE NP NPI 1235150046


NPI Information

NPI: 1235150046
Provider Name: JULEE R RADTKE, NP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Address:
111 ANNA ST
WATERLOO, WI
ZIP 53594
Phone: (920) 478-3776
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Julee R Radtke, NP is an adult health nurse practitioner in Waterloo, WI. Julee R Radtke, NP NPI is 1235150046. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

111 ANNA ST
WATERLOO, WI
ZIP 53594-184
Phone: (920) 478-3776
Fax: (920) 478-3979

The enumeration date for this NPI number is 7/21/2006 and was last updated on 7/27/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LA2200XNurse PractitionerAdult Health1357-033WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
143882600MEDICAIDWISCONSIN
220274908702OTHERWISCONSINUNITY
313998OTHERWISCONSINDEAN HEALTH CARE
4P75343MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.