Individual
MS. JENNIFER N. MANZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226-3518
(414) 805-3666
Mailing address
10000 W INNOVATION DR, MILWAUKEE, WI 53226-4837
(414) 456-5006
(414) 456-6259
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
155897
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36007400
—
WV
Enumeration date
08/14/2006
Last updated
07/09/2007
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