Individual
HOLLY J REICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2717 N GRANDVIEW BLVD, #202, WAUKESHA, WI 53188
(262) 513-0700
(262) 513-0707
Mailing address
2717 N GRANDVIEW BLVD, #202, WAUKESHA, WI 53188
(262) 513-0700
(262) 513-0707
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1959 033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43967200
—
WI
Enumeration date
10/27/2006
Last updated
07/08/2007
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