Most Relevant Information
Provider Data
| NPI Number: | 1003589037 |
| Provider Name: | DEBRA WRECKE LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 32667 |
Most Important Dates
| Enumeration Date: | 07/27/2021 |
| Last Updated: | 08/03/2021 |
Provider Practice Location
210 E OLIN AVE
MADISON
WI
537131434
Practice Location Phone/Fax
| Phone: | 6088071428 |
| Fax: |
Provider Mailing Location
210 E OLIN AVE
MADISON
WI
537131434
Provider Mailing Phone/Fax
| Phone: | 6088071428 |
| Fax: |