Individual
MARY ELIZABETH HANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
5819 W 8 MILE RD, CALEDONIA, WI 53108-9735
(414) 243-3663
Mailing address
5819 W 8 MILE RD, CALEDONIA, WI 53108-9735
(414) 243-3663
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
115333-30
WI
Other
Enumeration date
01/07/2011
Last updated
12/04/2024
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