Individual
MARTHA T. AREGBESOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
10101 S 27TH ST, FRANKLIN, WI 53132-7209
(414) 325-4704
Mailing address
9969 S 27TH ST, FRANKLIN, WI 53132-9533
(414) 325-4710
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2997-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
148862
RN LICENSE
WI
01
—
2997-033
APNP
WI
05
—
36020300
—
WI
Enumeration date
11/06/2006
Last updated
02/26/2021
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