Individual
ANDREA JEAN LANGLEY CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3100
(262) 532-9584
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-3100
(262) 532-9584
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
230969
WI
363LA2100X
Acute Care Nurse Practitioner
Primary
13063
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1326783630
—
WI
Enumeration date
05/02/2022
Last updated
04/18/2025
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