Provider Demographics
NPI:1184780249
Name:DENTON, DENISE ANN (RN, BSN)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:ANN
Last Name:DENTON
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1010 W NATIONAL AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53204-1346
Mailing Address - Country:US
Mailing Address - Phone:414-672-7516
Mailing Address - Fax:
Practice Address - Street 1:1010 W NATIONAL AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53204-1346
Practice Address - Country:US
Practice Address - Phone:414-672-7516
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI111091163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI111091OtherSTATE RN LICENSE
WI39997900OtherINDEPENDENT RN PROVIDER #
WI5575OtherBILLING # FOR BADGERLAND