Individual
MOLLY ELIZABETH MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY STE 511, MILWAUKEE, WI 53215-3660
(414) 649-3780
Mailing address
2901 W KINNICKINNIC RIVER PKWY STE 511, MILWAUKEE, WI 53215-3660
(414) 649-3780
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7711-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100067958
—
WI
Enumeration date
06/19/2017
Last updated
10/03/2023
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