Individual
MS. NANCY J THOMPSON-QUANDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,PNP
Contact information
Practice address
7831 WARREN AVE, WAUWATOSA, WI 53213-2115
(414) 453-5225
Mailing address
7831 WARREN AVE, WAUWATOSA, WI 53213-2115
(414) 453-5225
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
89154
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
150427-30
RN LICENSE
WI
Enumeration date
09/04/2012
Last updated
09/04/2012
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