Individual
MS. JULIE M. BANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC GASTROENTEROLOGY, MILWAUKEE, WI 53226-4874
(414) 266-1579
(414) 266-3676
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC GASTROENTEROLOGY, MILWAUKEE, WI 53226-4874
(414) 266-1579
(414) 266-3676
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
147604
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508053505
—
WI
Enumeration date
10/03/2007
Last updated
08/08/2023
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