Individual
HALEY A DUBOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1575 N RIVERCENTER DR, MILWAUKEE, WI 53212-3978
(414) 283-8444
Mailing address
1575 N RIVERCENTER DR, MILWAUKEE, WI 53212-3978
(414) 283-8444
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11448-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100198471
—
WI
Enumeration date
03/18/2022
Last updated
05/05/2023
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