Jena Louise Cruciani, | |
36500 Aurora Dr, Summit, WI 53066-4899 | |
(262) 343-1000 | |
Not Available |
Full Name | Jena Louise Cruciani |
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Gender | Female |
Speciality | Nurse Practitioner |
Location | 36500 Aurora Dr, Summit, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053868265 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 7227-33 (Wisconsin) | Primary |
Entity Name | Aurora Medical Group, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
Mailing Address | Practice Location Address |
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Jena Louise Cruciani, 9245 W Forest Home Ave, Hales Corners, WI 53130-1643 Ph: (414) 750-1934 | Jena Louise Cruciani, 36500 Aurora Dr, Summit, WI 53066-4899 Ph: (262) 343-1000 |
Mrs. Kelly S Campbell, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Erika Breeser, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Holly A Wallace, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 262-434-5050 | |
Carrie A Petersen, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 | |
Andrea M Lovas, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-1000 Fax: 262-434-5050 | |
Amy M Scott-egerbrecht, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 36500 Aurora Dr, Summit, WI 53066 Phone: 262-434-5000 Fax: 262-434-5950 |