Individual
ANGELA JILL DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9204
(262) 329-1000
Mailing address
2901 W KK RIVER PKWY STE 305, MILWAUKEE, WI 53215-3660
(414) 649-1291
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9015-33
WI
Other
Enumeration date
02/08/2019
Last updated
12/01/2021
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