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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. You can also correspond with Derek Dale Raese through the mailing address at 568 N PALM ST, JANESVILLE, WI - 53548-2845 (mailing address contact number: 608-718-3260).

Location: 16320 W Marietta Dr, New Berlin, WI, 53548-2845
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
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
institution
Provider Business Practice Location Address Details
Address
16320 W Marietta Dr
City
New Berlin
State
Wisconsin
Zip
53151-6594
Phone Number
414-640-1112
Fax Number
person
Provider Business Mailing Address Details
Address
16320 W Marietta Dr
City
New Berlin
State
Wisconsin
Zip
53151-6594
Phone Number
414-640-1112
Fax Number
person
Provider's Taxonomy Details 1
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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