Individual
ANITA P OBRIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4267 W FOND DU LAC AVE, MILWAUKEE, WI 53216-3527
(414) 873-3440
Mailing address
4267 W FOND DU LAC AVE, MILWAUKEE, WI 53216-3527
(414) 873-3440
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
2392
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41188300
—
WI
Enumeration date
06/13/2005
Last updated
10/17/2023
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