Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Charles Behrens, NURSEPRACTITIONER

Individual provider Primary Care Nurse Practitioner · NPI 1629957832

Charles Behrens, NURSEPRACTITIONER is a Primary Care Nurse Practitioner in Waterloo, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2025.

Licensed in
WI
In the registry since
2025

Practice location Address checks out

801 W Madison St
Waterloo, WI 53594-1379
Phone: (920) 390-7290
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 1727133 (WI)

Record details

NPI number1629957832
Entity typeIndividual (Type 1)
GenderMale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedSeptember 1, 2025
Last updated in NPPESSeptember 1, 2025
Certification dateSeptember 1, 2025
Mailing address710 Ridge St Apt 206, Madison, WI 53705-3641