Individual
MRS. JOYCE ARLENE ENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1555 S LAYTON BLVD, MILWAUKEE, WI 53215-1924
(414) 385-6600
Mailing address
W349N9348 NORWEGIAN RD, OCONOMOWOC, WI 53066-9649
(414) 881-0214
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2616-033
WI
Other
Enumeration date
05/30/2008
Last updated
05/30/2008
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