Individual
SUSAN MOLENAAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6864
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6850
(414) 805-6864
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
144009-30
WI
363LF0000X
Family Nurse Practitioner
Primary
7198-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265986731
—
WI
Enumeration date
08/12/2016
Last updated
05/22/2023
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