Katherine Ciminelli Waller, APNP | |
4855 S Moorland Rd Fl 3, New Berlin, WI 53151-7494 | |
(262) 432-7599 | |
(262) 432-7694 |
Full Name | Katherine Ciminelli Waller |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Pediatrics |
Location | 4855 S Moorland Rd Fl 3, New Berlin, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013525096 | NPI | - | NPPES |
1013525096 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0200X | Nurse Practitioner - Pediatrics | 10304 (Wisconsin) | Primary |
Entity Name | The Medical College Of Wisconsin Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1699720086 PECOS PAC ID: 2668384371 Enrollment ID: O20031120000259 |
Mailing Address | Practice Location Address |
---|---|
Katherine Ciminelli Waller, APNP 9000 W Wisconsin Ave, Milwaukee, WI 53226-4874 Ph: (414) 337-7050 | Katherine Ciminelli Waller, APNP 4855 S Moorland Rd Fl 3, New Berlin, WI 53151-7494 Ph: (262) 432-7599 |
Mrs. Jennifer Hidalgo Hruz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2355 S Krahn Rd, New Berlin, WI 53151 Phone: 414-248-3394 | |
Mr. Dennis J Garvin, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 12901 W National Ave, New Berlin, WI 53151 Phone: 262-787-5200 | |
Michelle L Martin, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14555 W National Ave, New Berlin, WI 53151 Phone: 262-827-2955 | |
Ms. Julie Ann Averbeck, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4855 S Moorland Rd, Suite 150, New Berlin, WI 53151 Phone: 414-425-5660 Fax: 414-425-9803 | |
Kyla Phu, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14555 W National Ave, New Berlin, WI 53151 Phone: 844-284-0381 | |
Mrs. Margaret R Salinas, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 14555 W National Ave, New Berlin, WI 53151 Phone: 262-827-2955 |