IndividualActive
Nicolette Deveneau
NPI 1982877866 · Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician · Milwaukee, WI
Provider details
- NPI number
- 1982877866
- Entity type
- Individual
- Primary specialty
- Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianAllopathic & Osteopathic Physicians
- Sex
- Female
- Sole proprietor
- No
- License
- TP (KY)
Specialties & taxonomies
- Urogynecology and Reconstructive Pelvic Surgery (Urology) PhysicianPrimary2088F0040XLicense 54414 (WI)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2350 N Lake Dr
Suite 504
Milwaukee, WI 53211-4528
Phone: (414) 289-9668
Fax: (414) 289-0974
Approximate (ZIP-level) locationGet directions
Mailing address
4425 N Port Washington Rd
Glendale, WI 53212-1082
Registry dates
- Enumerated
- 2008-04-11
- Last updated
- 2015-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.