Provider Demographics
NPI:1740392372
Name:HUSSINGER, DENISE ELAINE (BSN; RN)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:ELAINE
Last Name:HUSSINGER
Suffix:
Gender:F
Credentials:BSN; RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1220 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186-1425
Mailing Address - Country:US
Mailing Address - Phone:414-559-4565
Mailing Address - Fax:
Practice Address - Street 1:1220 RIDGE RD
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53186-1425
Practice Address - Country:US
Practice Address - Phone:414-559-4565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI91015 - 030163WH0200X
WI91015-030163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WH0200XNursing Service ProvidersRegistered NurseHome Health