Individual
BARBARA M HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
3707 N RICHARDS ST, MILWAUKEE, WI 53212-1673
(414) 967-7006
(414) 967-7020
Mailing address
9446 N ELM CT, BROWN DEER, WI 53223-1368
(414) 371-1655
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
131909
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1780850594
—
WI
Enumeration date
11/18/2014
Last updated
11/18/2014
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