Individual
ANGELA M RYAN JOLIVETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROSURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5400
(414) 955-0115
Mailing address
9200 W WISCONSIN AVE, DEPARTMENT OF NEUROSURGERY, MILWAUKEE, WI 53226-3522
(414) 805-5400
(414) 955-0115
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
174144
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164864997
—
WI
Enumeration date
07/22/2013
Last updated
01/13/2015
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