Individual
MIRANDA UHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP, AGPCNP-BC
Contact information
Practice address
10200 W INNOVATION DR STE 400, MILWAUKEE, WI 53226-4826
(866) 216-5708
Mailing address
N8653 WILMERS GROVE RD, EAST TROY, WI 53120-2018
(262) 822-7208
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
14404-33
WI
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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