Individual
MOLLY M BANEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 777-7700
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6000
(414) 805-6280
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F07221499
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093442261
—
WI
Enumeration date
08/06/2022
Last updated
03/03/2023
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