Individual
MS. DANIELLE WREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3611 N TEUTONIA AVE, MILWAUKEE, WI 53206-2331
(414) 376-8229
Mailing address
PO BOX 240965, MILWAUKEE, WI 53224-9024
(414) 376-8229
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000
NO MEDICARE NUMBER
WI
Enumeration date
02/05/2020
Last updated
11/27/2023
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