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Individual

MARY AYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1555 N RIVERCENTER DR STE 206, MILWAUKEE, WI 53212-3958
(414) 231-1171
Mailing address
1555 N RIVERCENTER DR STE 206, MILWAUKEE, WI 53212-3958
(414) 231-1171

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
175077-30
WI
363LA2200X
Adult Health Nurse Practitioner
2014004353
WI
363LG0600X
Gerontology Nurse Practitioner
2014004353
WI
363LP2300X
Primary Care Nurse Practitioner
Primary
2014004353
WI

Other

Enumeration date
05/02/2016
Last updated
05/02/2016
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