Individual
JURGITA GRONKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-2247
(414) 384-2000
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2019079039
WI
Other
Enumeration date
03/12/2020
Last updated
04/06/2020
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