Individual
TRACEY L DOVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, SUITE 840, MILWAUKEE, WI 53215-3669
(414) 649-3530
(414) 649-3529
Mailing address
2801 W KINNICKINNIC RIVER PKWY, SUITE 840, MILWAUKEE, WI 53215-3669
(414) 649-3530
(414) 649-3529
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3407
WI
363LA2200X
Adult Health Nurse Practitioner
3407-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36061700
—
WI
Enumeration date
04/07/2008
Last updated
12/01/2021
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