Individual
DR. MOLLY ELIZABETH LIDDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP RN AGCNS-BC
Contact information
Practice address
900 N 92ND ST, MILWAUKEE, WI 53226-1202
(414) 454-7154
Mailing address
7913 EAGLE ST, WAUWATOSA, WI 53213-1150
(847) 321-0791
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
196383-30
WI
Other
Enumeration date
08/03/2023
Last updated
08/03/2023
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