Provider Demographics
NPI:1518150960
Name:NAGL, ANDREA (MS)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:NAGL
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8701 W WATERTOWN PLANK RD
Mailing Address - Street 2:HMGC 5TH FLOOR
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53226-3548
Mailing Address - Country:US
Mailing Address - Phone:414-955-4222
Mailing Address - Fax:414-955-6516
Practice Address - Street 1:8701 W WATERTOWN PLANK RD
Practice Address - Street 2:HMGC 5TH FLOOR
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3548
Practice Address - Country:US
Practice Address - Phone:414-955-4222
Practice Address - Fax:414-955-6516
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-20
Last Update Date:2013-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS