Individual
HOLLY SURGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1130 SUNSET DR, WAUKESHA, WI 53189-8422
(262) 446-5169
Mailing address
1130 SUNSET DR, WAUKESHA, WI 53189-8422
(262) 446-5169
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13505
WI
Other
Enumeration date
01/31/2023
Last updated
02/22/2023
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