NPI 1336957711
Thrivemed, Sc
Practice location
- Address
- 11501 N Port Washington Rd STE G-30, Mequon, WI 53092-3483
- Phone
- (262) 643-4900
- Fax
- (262) 643-4901
Authorised official
- Name
- Erica Reigle
- Title
- Nurse Practitioner
- Phone
- (262) 643-4900
Registered specialties (4)
Internal Medicine Physician
Primary
Pediatrics Physician
Family Nurse Practitioner
Registry record
- NPI
- 1336957711
- Entity type
- Organization
- NPI issued
- 18 Dec 2024
- Record last updated
- 18 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.