Individual
JENA LOUISE CRUCIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(262) 343-1000
Mailing address
9245 W FOREST HOME AVE, HALES CORNERS, WI 53130-1643
(414) 750-1934
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7227-33
WI
Other
Enumeration date
09/06/2016
Last updated
11/29/2021
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