Individual
MS. JULIE A WAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-6805
Mailing address
9200 W WISCONSIN AVE, DIVISION OF NEOPLASTIC DISEASES, MILWAUKEE, WI 53226-3522
(414) 805-6800
(414) 805-6805
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1389-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006000215Q
HUMANA
—
05
—
1164476073
—
WI
Enumeration date
05/22/2006
Last updated
02/15/2013
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