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Individual

MS. JOANNE MARIE KENNEDY COFFMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNC, WHNP

Contact information

Practice address
1428 N FARWELL AVE, MILWAUKEE, WI 53202-2904
(414) 278-0424
Mailing address
2717 E PARK PL, MILWAUKEE, WI 53211-3843
(414) 708-6447

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
WI

Other

Enumeration date
06/03/2007
Last updated
07/08/2007
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