Individual
DR. HENRIETTA C ABILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
N112W17975 MEQUON RD, GERMANTOWN, WI 53022-2425
(262) 532-7600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4045-33
WI
363LF0000X
Family Nurse Practitioner
4045-33
WI
363LP2300X
Primary Care Nurse Practitioner
4045-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100013002
—
WI
05
—
1174859524
—
WI
01
—
149918-030
STATE LICENSE #
WI
Enumeration date
10/20/2009
Last updated
11/25/2024
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