Provider Demographics
NPI:1427725795
Name:CAMBRONERO, NANETTE M (FNP)
Entity type:Individual
Prefix:
First Name:NANETTE
Middle Name:M
Last Name:CAMBRONERO
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1708 PARAMOUNT CT
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186-3967
Mailing Address - Country:US
Mailing Address - Phone:262-522-8640
Mailing Address - Fax:
Practice Address - Street 1:1708 PARAMOUNT CT
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53186-3967
Practice Address - Country:US
Practice Address - Phone:262-522-8640
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI184403-30163W00000X
WI11747-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse