Individual
MRS. MARISKA CORNELIA GOEBEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APNP, FNP-C
Contact information
Practice address
6220 W LOOMIS RD, GREENDALE, WI 53129-2448
(414) 423-0555
Mailing address
6220 W LOOMIS RD, GREENDALE, WI 53129-2448
(414) 423-0555
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10291-33
WI
363LF0000X
Family Nurse Practitioner
10291-33
WI
363LF0000X
Family Nurse Practitioner
209021755
IL
363LF0000X
Family Nurse Practitioner
APRN11008277
FL
Other
Enumeration date
08/17/2020
Last updated
11/30/2022
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