Individual
KRISTEN M MANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 384-5111
Mailing address
PO BOX 735031, CHICAGO, IL 60673-5031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
254572
WI
363L00000X
Nurse Practitioner
Primary
13889
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100238857
—
WI
Enumeration date
04/10/2023
Last updated
08/07/2023
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