Basic Information
Provider Information
NPI: 1043537293
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HEMPE
FirstName: DEBRA
MiddleName: LYNN
NamePrefix: MRS.
NameSuffix:  
Credential: RN/CDE
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 950 N 12TH ST
Address2:  
City: MILWAUKEE
State: WI
PostalCode: 532331306
CountryCode: US
TelephoneNumber: 4142197956
FaxNumber: 4142197150
Practice Location
Address1: 950 N 12TH ST
Address2:  
City: MILWAUKEE
State: WI
PostalCode: 532331306
CountryCode: US
TelephoneNumber: 4142197956
FaxNumber: 4142197150
Other Information
ProviderEnumerationDate: 04/28/2010
LastUpdateDate: 04/28/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
163WD0400X80503-30WIY Nursing Service ProvidersRegistered NurseDiabetes Educator

No ID Information.


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