Individual
RACHELLE B MANKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
4131 W LOOMIS RD, SUITE 300, GREENFIELD, WI 53221-2057
(414) 325-7246
(414) 325-3770
Mailing address
4131 W LOOMIS RD, SUITE 300, GREENFIELD, WI 53221-2057
(414) 325-7246
(414) 325-3770
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
166062-30
WI
363L00000X
Nurse Practitioner
Primary
5816
WI
Other
Enumeration date
05/19/2014
Last updated
07/11/2014
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