Individual
ASHLEIGH MIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 E BRADY ST, MILWAUKEE, WI 53202-1615
(414) 272-2171
Mailing address
1400 E BRADY ST, MILWAUKEE, WI 53202-1615
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
174540-30
WI
363LF0000X
Family Nurse Practitioner
Primary
6863-33
WI
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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