CHARLOTTE GLADBACH
NPI 1619039021
Registered Nurse - Psychiatric/Mental Health, Adult in Waukesha, WI
Active since December 14, 2006
About Charlotte Gladbach NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CHARLOTTE GLADBACH (NPI 1619039021) is an individual psychiatric/mental health, adult provider in Waukesha, Wisconsin, licensed in Wisconsin (76603-030) and active in the NPI registry since December 2006.
NPPES Registry Identity
NPI1619039021
Entity TypeIndividualFemale
Primary Taxonomy163WP0809X
Provider Legal NameCHARLOTTE GLADBACH
Location Address1501 AIRPORT ROADWaukesha, WI 53188
Mailing AddressW384 N6087 Nokoma DrOconomowoc, WI 53066
Phone(262) 896-8103
Sole ProprietorYes
Enumeration DateDecember 14, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619039021 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in WI · 76603-030
1501 AIRPORT ROAD, Waukesha, WI 53188
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619039021, enumerated as an "individual" on December 14, 2006.
The provider is located at 1501 AIRPORT ROAD WAUKESHA, WI 53188 and the phone number is (262) 896-8103.
Registered Nurse with taxonomy code 163WP0809X and a focus in Psychiatric/Mental Health, Adult.