Individual
TAYLOR FENSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4455 S 108TH ST, GREENFIELD, WI 53228-2504
(414) 427-5310
Mailing address
11221 SYNERGY DR APT 489, WAUWATOSA, WI 53222-1310
(414) 539-2340
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
24913430
WI
363LF0000X
Family Nurse Practitioner
Primary
1587833
WI
Other
Enumeration date
09/07/2024
Last updated
09/09/2024
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