Individual
LIA Y HERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
W231N1440 CORPORATE CT, WAUKESHA, WI 53186-1303
(262) 896-6000
(262) 896-3921
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7519
WI
363LG0600X
Gerontology Nurse Practitioner
7519
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100065210
—
WI
Enumeration date
02/23/2017
Last updated
12/01/2025
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