NPI 1043049570

Andie Alexandra Rockendorf

Practitioner Medical Physician Assistant Pleasant Prairie, WI

Practice location

Address: 9697 Saint Catherines Dr STE 101, Pleasant Prairie, WI 53158-2118
Phone: (262) 653-5330
Mailing address: 507 N 17th St, Milwaukee, WI 53233-2104

Registered specialties (2)

Medical Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X Licence 8130 (WI)

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Student in an Organized Health Care Education/Training Program

Student, Health Care Taxonomy 390200000X

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Registry record

NPI: 1043049570
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Aug 2024
Record last updated: 13 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.