Individual
HAYLIE BRYNNE HANSEN NORDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10625 W NORTH AVE STE 101B, WAUWATOSA, WI 53226-2315
(414) 727-9183
Mailing address
2546 N 65TH ST, WAUWATOSA, WI 53213-1409
(262) 623-8226
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
7587-23
WI
Other
Enumeration date
07/17/2023
Last updated
04/14/2025
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