Individual
PATRICIA E NOONAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
10950 W CAPITOL DR, WAUWATOSA, WI 53222-1110
(414) 464-4460
(414) 464-7074
Mailing address
4425 N PORT WASHINGTON RD, ATTN: CSMCP CLINIC CREDENTIALING, GLENDALE, WI 53212-1082
(414) 464-4460
(414) 464-7074
Taxonomy
Speciality
Code
Description
License number
State
364S00000X
Clinical Nurse Specialist
Primary
1140
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41175100
—
WI
Enumeration date
11/01/2006
Last updated
11/16/2011
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