Individual
JENNIFER K VITEK SEMRAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
240 MAPLE AVE, MUKWONAGO, WI 53149-8475
(262) 928-1900
Mailing address
240 MAPLE AVE, MUKWONAGO, WI 53149-8475
(262) 928-1900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041403514
IL
363L00000X
Nurse Practitioner
Primary
6704
WI
363LF0000X
Family Nurse Practitioner
209-013533
IL
Other
Enumeration date
10/13/2015
Last updated
07/19/2016
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