Individual
CARLY A WABISZEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 680, MILWAUKEE, WI 53215-3633
(414) 385-1922
(414) 385-1899
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8266
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100075851
—
WI
Enumeration date
03/05/2018
Last updated
03/26/2024
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