Individual
TAYLOR CATHERINE VILLWOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1575 N RIVERCENTER DR, MILWAUKEE, WI 53212-3978
(414) 283-8444
(414) 274-5021
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8771
WI
363LP2300X
Primary Care Nurse Practitioner
8771-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100082727
—
WI
Enumeration date
10/16/2018
Last updated
10/29/2024
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