| Elissa M Derksen, LPN | |
|
2422 N Grandview Blvd, Waukesha, WI 53188-6105 | |
| (262) 549-6600 | |
| Not Available |
| Full Name | Elissa M Derksen |
|---|---|
| Gender | Female |
| Speciality | Licensed Practical Nurse |
| Location | 2422 N Grandview Blvd, Waukesha, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003573841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 30994431 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Elissa M Derksen, LPN 407 Hartwood Ln, Hartland, WI 53029-2409 Ph: (920) 309-2018 | Elissa M Derksen, LPN 2422 N Grandview Blvd, Waukesha, WI 53188-6105 Ph: (262) 549-6600 |
Maureen E Burke, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2422 N Grandview Blvd, Waukesha, WI 53188 Phone: 262-549-6600 Fax: 262-549-6698 | |
Lisa Diane Sharkey, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2422 N Grandview Blvd, Waukesha, WI 53188 Phone: 262-549-6600 Fax: 262-549-6698 | |
Deborah Lynn Rozelle, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2422 N Grandview Blvd, Waukesha, WI 53188 Phone: 262-549-6600 Fax: 262-549-6698 | |
Victoria Champeau, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2422 N Grandview Blvd, Waukesha, WI 53188 Phone: 262-549-6600 Fax: 262-549-6698 | |
Ricky F Baumann, Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 2422 N Grandview Blvd, Waukesha, WI 53188 Phone: 262-549-6600 Fax: 262-549-6698 | |
Cheryl Metcalf, LPN Licensed Practical Nurse Medicare: Not Enrolled in Medicare Practice Location: 817 Michigan Ave, Waukesha, WI 53188 Phone: 262-370-2366 |