IndividualActive
Devin Grosklaus
NPI 1750064564 · Pediatric Nurse Practitioner · New Berlin, WI
Provider details
- NPI number
- 1750064564
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 14460-33 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
4855 S Moorland Rd
New Berlin, WI 53151-7494
Phone: (262) 432-7599
Approximate (ZIP-level) locationGet directions
Mailing address
136 E Dodge St
Port Washington, WI 53074-1623
Registry dates
- Enumerated
- 2023-08-08
- Last updated
- 2023-08-31
- Certified
- 2023-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.