Individual
MARION LOUISE MORENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2600 N RICHMOND ST, SUITE C, APPLETON, WI 54911-1956
(920) 997-0511
Mailing address
2600 N RICHMOND ST, SUITE C, APPLETON, WI 54911-1956
(920) 997-0511
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5575-33
WI
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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