Individual
MOLLY YURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
S68W15500 JANESVILLE RD, MUSKEGO, WI 53150-2613
(414) 422-4000
Mailing address
S68W15500 JANESVILLE RD, MUSKEGO, WI 53150-2613
(414) 422-4000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7220-33
WI
363LF0000X
Family Nurse Practitioner
7220-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528515954
—
WI
Enumeration date
09/01/2016
Last updated
11/24/2021
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