Individual
MRS. HEATHER ANN DULAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GERIATRIC NURSE PRAC
Contact information
Practice address
5228 W FOND DU LAC AVE, MILWAUKEE, WI 53216
(414) 536-2100
Mailing address
8966 SOUTH 77TH ST, FRANKLIN, WI 53132
(262) 483-5545
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3019
WI
363LG0600X
Gerontology Nurse Practitioner
3019033
WI
Other
Enumeration date
12/18/2006
Last updated
02/26/2016
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