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Individual

MS. JULIE ANN AVERBECK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
4855 S MOORLAND RD, SUITE 150, NEW BERLIN, WI 53151-7494
(414) 425-5660
(414) 425-9803
Mailing address
4855 S MOORLAND RD, SUITE 150, NEW BERLIN, WI 53151-7494
(414) 425-5660
(414) 425-9803

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
86080-030
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
009006261A
HUMANA
05
43950200
WI
Enumeration date
05/22/2006
Last updated
03/01/2010
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