OrganizationActive
Nuderma Med Spa and Wellness Center
NPI 1215642285 · Health Service Clinic/Center · Waukesha, WI
Provider details
- NPI number
- 1215642285
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Justin Hanson, President(262) 716-7580
Specialties & taxonomies
Ambulatory Health Care Facilities
- Clinic/Center261Q00000X
Ambulatory Health Care Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
N14w23777 Stone Ridge Dr Ste 290
Waukesha, WI 53188-1140
Phone: (262) 716-7580
Approximate (ZIP-level) locationGet directions
Mailing address
N14w23777 Stone Ridge Dr Ste 290
Waukesha, WI 53188-1140
Registry dates
- Enumerated
- 2023-01-13
- Last updated
- 2023-01-13
- Certified
- 2023-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.