Individual
MARY M LULE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8928 W APPLETON AVE, APT # 3, MILWAUKEE, WI 53225-4259
(414) 324-4939
Mailing address
8928 W APPLETON AVE, APT # 3, MILWAUKEE, WI 53225-4259
(414) 324-4939
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38341300
RN/RCS PROVIDER NUMBER
WI
Enumeration date
10/05/2006
Last updated
07/08/2007
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