Individual
MAIKENG HER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
6609 W GREENFIELD AVE, WEST ALLIS, WI 53214-4958
(414) 257-8577
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8101
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200580790
—
WI
Enumeration date
10/30/2017
Last updated
11/14/2023
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