IndividualActive
Charles Behrens, NURSE PRACTITIONER
NPI 1629957832 · Primary Care Nurse Practitioner · Waterloo, WI
Provider details
- NPI number
- 1629957832
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Male
- Sole proprietor
- No
- License
- 1727133 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
801 W Madison St
Waterloo, WI 53594-1379
Phone: (920) 390-7290
Approximate (ZIP-level) locationGet directions
Mailing address
710 Ridge St Apt 206
Madison, WI 53705-3641
Registry dates
- Enumerated
- 2025-09-01
- Last updated
- 2025-09-01
- Certified
- 2025-09-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.