Provider Demographics
NPI:1902440969
Name:CEGERS, WANDA (APN)
Entity type:Individual
Prefix:
First Name:WANDA
Middle Name:
Last Name:CEGERS
Suffix:
Gender:F
Credentials:APN
Other - Prefix:MS
Other - First Name:WANDA
Other - Middle Name:
Other - Last Name:CEGERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, APRN, PMHNP-BC
Mailing Address - Street 1:5007 S HOWELL AVE STE 350
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207-6159
Mailing Address - Country:US
Mailing Address - Phone:414-340-5970
Mailing Address - Fax:
Practice Address - Street 1:5007 S HOWELL AVE STE 350
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53207-6159
Practice Address - Country:US
Practice Address - Phone:414-340-5970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-03
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI108200163WN0300X
IL041356973163WN0300X
IN28233466A163WN0300X
WI11055-332084P0800X, 363LP0808X
IL2770032792084P0800X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty
No163WN0300XNursing Service ProvidersRegistered NurseNephrology
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty