Individual
MS. ANGELA KATHRYN GOLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
1032 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2203
(414) 672-1353
(414) 672-4265
Mailing address
2906 S 20TH ST, MILWAUKEE, WI 53215-3732
(414) 672-1353
(414) 672-4265
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
155739-30
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7810-33
WI
Other
Enumeration date
07/27/2017
Last updated
08/18/2017
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