Individual
JULIANA EVANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3077 N MAYFAIR RD STE 100, WAUWATOSA, WI 53222-4305
(414) 384-6700
Mailing address
1585 BARRINGTON WOODS DR, BROOKFIELD, WI 53045-2212
(262) 957-7347
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
242550-30
WI
363L00000X
Nurse Practitioner
Primary
15854-33
WI
Other
Enumeration date
08/29/2024
Last updated
08/30/2024
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