Individual
MS. DUACHY VANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2555 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212
(414) 760-3900
(414) 464-6076
Mailing address
2555 N MARTIN LUTHER KING DR, MILWAUKEE, WI 53212-2709
(414) 760-3900
(414) 464-6076
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
145653-30
WI
363L00000X
Nurse Practitioner
Primary
7807
WI
363LF0000X
Family Nurse Practitioner
145653
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100070130
—
WI
01
—
145653-30
RN LIC
WI
Enumeration date
07/20/2017
Last updated
12/06/2021
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