is a Nurse Practitioner in Thiensville, Wisconsin. practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for is 1255598140. The last update date is .
's current location address is Po Box 639, Thiensville, Wisconsin. You can contact this provider via phone number 4142479005. The mailing address for is Po Box 639, Thiensville, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | Po Box 639, Thiensville, Wisconsin |
Phone Number | 4142479005 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1255598140 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | Po Box 639 |
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City | Thiensville |
State | Wisconsin (WI) |
Post Code | 530920639 |
Phone Number | 4142479005 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | 7261-33 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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1255598140 | WI | -- |
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