Individual
KEIGHLA L SLATTERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3310
(414) 805-3885
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3310
(414) 805-3885
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
223134-30
WI
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
223134
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174182885
—
WI
Enumeration date
06/07/2019
Last updated
08/07/2023
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