Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DEREK DALE RAESE
Active Sole ProprietorMR. DEREK DALE RAESE is a Licensed Practical Nurse healthcare provider located in NEW BERLIN, Wisconsin. NPI 1205309226 is currently active in the NPPES registry. Verify at CMS.
Licensed Practical Nurse · NEW BERLIN, WI
Registration Details
- NPI Number
- 1205309226
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 3, 2019 (7.5725367282467 yrs)
- Last Updated
- Jan 3, 2019
- License
-
321484 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
16320 W MARIETTA DRNEW BERLIN, WI, 531516594Browse WI providers · Browse ZIP 53151
- Phone
- 4146401112
- Primary Specialty
-
Licensed Practical Nurse
164W00000X
Other Licensed Practical Nurse Providers in NEW BERLIN, WI
| Name | Credential | NPI |
|---|---|---|
| MRS. DEBORAH LYNN MARTELL | LPN | 1821261835 |
| MRS. KARLY IRENE MARTIN | LPN | 1356572333 |
| LADONNA B TELFORD | LPN | 1558695387 |
| MRS. TINA MARIE STEFANIAK | L.P.N. #306931-31 | 1023316767 |
| MS. PATRICIA M FRIEDRICH | LPN | 1548519176 |
| MISS MELISSA R ALTHEIMER | LPN | 1487091856 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.