Individual
ALISON MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-1700
(414) 955-0072
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-1700
(414) 955-0072
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
10977-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497339188
—
WI
Enumeration date
05/08/2021
Last updated
12/09/2025
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