Individual
MARY MAY HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
10701 W RESEARCH DR, WAUWATOSA, WI 53226-3452
(262) 993-3352
Mailing address
10701 W RESEARCH DR, WAUWATOSA, WI 53226-3452
(262) 993-3352
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7096-33
WI
Other
Enumeration date
09/01/2016
Last updated
08/02/2019
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