Provider Demographics
NPI:1609587518
Name:HOPPE, THERESA ANNE (DNP, FNP-BC, APNP)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:ANNE
Last Name:HOPPE
Suffix:
Gender:F
Credentials:DNP, FNP-BC, APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8825 W LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53222-4635
Mailing Address - Country:US
Mailing Address - Phone:414-617-5422
Mailing Address - Fax:
Practice Address - Street 1:8825 W LOCUST ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-4635
Practice Address - Country:US
Practice Address - Phone:414-617-5422
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-12
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI13374-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily