Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RENATA B PTAK, PA-C
ActiveRENATA B PTAK, PA-C is a Physician Assistant healthcare provider located in GLENDALE, Wisconsin. NPI 1902955933 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · GLENDALE, WI
Registration Details
- NPI Number
- 1902955933
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 9, 2007 (19.564815983477 yrs)
- Last Updated
- Jun 30, 2020
- License
-
1779-023 (WI)
Practice Information
- Address
-
2501 W SILVER SPRING DRGLENDALE, WI, 532094217Browse WI providers · Browse ZIP 53209
- Phone
- 4144619250
- Fax
- 4144613553
- Primary Specialty
-
Physician Assistant
363A00000X
Other Physician Assistant Providers in GLENDALE, WI
| Name | Credential | NPI |
|---|---|---|
| JENNIFER M HAYES | PA-C | 1619925542 |
| MARION R GAILEY | PAC | 1265885156 |
| REBECCA ANN CAPLES | PA | 1447812979 |
| RACHEL BALCERAK | PA-C | 1629812649 |
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.