Individual
TAYLOR J THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, CCRN, AGACNP-BC
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6000
(414) 805-6280
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6000
(414) 805-6280
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
14302
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548043250
—
WI
Enumeration date
08/16/2023
Last updated
10/20/2023
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