Individual
BAO XIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(262) 251-7500
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 251-7500
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7930
WI
363LF0000X
Family Nurse Practitioner
7930-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100072557
—
WI
01
—
7930-33
WI LICENSE
WI
Enumeration date
10/10/2017
Last updated
10/19/2023
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