Individual
MRS. ADRIENNE MICHELLE MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9200 W WISCONSIN AVE, WAUWATOSA, WI 53226-3522
(414) 805-3000
Mailing address
N40W27474 GLACIER RD, PEWAUKEE, WI 53072-2205
(262) 696-8214
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
6103-33
WI
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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