Individual
NYSSA SLIMACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
7401 104TH AVE, SUITE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314
Mailing address
7401 104TH AVE, SUITE 110, KENOSHA, WI 53142-7845
(262) 764-5595
(262) 764-9314
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
17776530
WI
363LF0000X
Family Nurse Practitioner
Primary
647233
WI
Other
Enumeration date
07/19/2011
Last updated
01/04/2019
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