Individual
MS. DENISE A MILLER NIKLASCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3122
(414) 259-9290
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3122
(414) 259-9290
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
1659033
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
1659
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1114971488
—
WI
Enumeration date
05/20/2006
Last updated
12/11/2013
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