Individual
MS. ANDREA FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4855 S MOORLAND RD FL 3, NEW BERLIN, WI 53151-7494
(262) 432-7599
(262) 432-7694
Mailing address
W305S5021 STATE ROAD 83, MUKWONAGO, WI 53149-9726
(262) 408-8172
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
169727-030
WI
363LP0200X
Pediatric Nurse Practitioner
Primary
10633-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1013245208
—
WI
Enumeration date
11/25/2009
Last updated
05/25/2023
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