Individual
MARISOL GANDEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8710
(414) 805-1101
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-8710
(414) 805-1101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
15744
WI
363LG0600X
Gerontology Nurse Practitioner
AG07220044
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700510567
—
WI
Enumeration date
07/15/2022
Last updated
11/12/2025
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