Individual
JOSEPHINE M KRIZEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
5380 W FOND DU LAC AVE, MILWAUKEE, WI 53216-1366
(844) 493-1052
Mailing address
302 N JACKSON ST, MILWAUKEE, WI 53202-5904
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9939-33
WI
363LA2200X
Adult Health Nurse Practitioner
9939-33
WI
363LG0600X
Gerontology Nurse Practitioner
9939-33
WI
363LP2300X
Primary Care Nurse Practitioner
9939-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098168
—
WI
Enumeration date
06/28/2017
Last updated
03/04/2024
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