Individual
STEPHANIE GHOJALLU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2450 W NORTH AVE, MILWAUKEE, WI 53205-1001
(414) 801-0238
Mailing address
2450 W NORTH AVE, MILWAUKEE, WI 53205-1001
(414) 801-0238
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6868-33
WI
Other
Enumeration date
05/09/2016
Last updated
05/09/2016
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