Individual
MRS. ANGELA IRENE MICHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP, MSN
Contact information
Practice address
13950 W CAPITOL DR, BROOKFIELD, WI 53005-2441
(414) 302-5400
(414) 302-5447
Mailing address
13950 W CAPITOL DR, BROOKFIELD, WI 53005-2441
(414) 302-5400
(414) 302-5447
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
153545-30
WI
363L00000X
Nurse Practitioner
153545
WI
363L00000X
Nurse Practitioner
4352-33
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
4352
WI
Other
Enumeration date
08/13/2010
Last updated
05/07/2015
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