Mr. Derek Dale Raese - New Berlin, WI

Mr. Derek Dale Raese

Licensed Practical Nurse in New Berlin, Wisconsin

NPI 1205309226

Derek Dale Raese is a Licensed Practical Nurse based in Janesville, WI. Derek Dale Raese practices in New Berlin, WI. The NPI Number for Derek Dale Raese is 1205309226 and holds a License No. 321484 (Wisconsin).

The current practice location address for Derek Dale Raese is 16320 W Marietta Dr, New Berlin, WI and can be reached out via phone at 414-640-1112.

Location: 16320 W Marietta Dr, New Berlin, WI, 53548-2845

NPI Number

1205309226

Provider Name

Derek Dale Raese

Credential

Provider Entity Type

Individual

Gender

Male

Address

16320 W Marietta Dr, New Berlin, WI, 53548-2845

Phone Number

414-640-1112

Fax Number

Provider Enumeration Date

01/03/2019

Last Update Date

03/10/2024

Address

16320 W Marietta Dr

City

New Berlin

State

Wisconsin

Zip

53151-6594

Phone Number

414-640-1112

Fax Number

Address

16320 W Marietta Dr

City

New Berlin

State

Wisconsin

Zip

53151-6594

Phone Number

414-640-1112

Fax Number

Type

Nursing Service Providers

Classification

Licensed Practical Nurse

Speciality

Taxonomy

164W00000X

License No.

321484 (Wisconsin)

Definition

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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