Individual
COLLEEN ANNE KEANE-MULLOOLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNC,MS,WHNP
Contact information
Practice address
302 N JACKSON ST, MILWAUKEE, WI 53202-5904
(608) 347-2297
Mailing address
302 N JACKSON ST, MILWAUKEE, WI 53202-5904
(608) 347-2297
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
2232-033
WI
363L00000X
Nurse Practitioner
Primary
2232-33
WI
Other
Enumeration date
06/19/2006
Last updated
12/30/2013
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