Individual
MRS. MARYANN MCKENNA MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N. C.N.S.
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8700
(414) 259-1522
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6944
WI
Other
Enumeration date
06/03/2013
Last updated
04/26/2018
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