Individual
DR. KIMBERLY ANNE WARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-DNP
Contact information
Practice address
2301 N LAKE DR, MILWAUKEE, WI 53211-4508
(414) 585-1000
Mailing address
3209 W DANIEL ST, CHAMPAIGN, IL 61821-3452
(217) 799-7619
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
9648
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
9648
WI
Other
Enumeration date
10/03/2019
Last updated
10/09/2023
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