Provider Demographics
NPI:1942781133
Name:STURGEON, ANDREA E (APNP)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:E
Last Name:STURGEON
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:E
Other - Last Name:BREDESON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APNP
Mailing Address - Street 1:2207 W WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53233-1923
Mailing Address - Country:US
Mailing Address - Phone:414-931-8181
Mailing Address - Fax:
Practice Address - Street 1:2207 W WISCONSIN AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53233-1923
Practice Address - Country:US
Practice Address - Phone:414-931-8181
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-24
Last Update Date:2019-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI8655-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily