Individual
MRS. MAUREEN T BLAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2901 W KINNICKINNIC RIVER PKWY, SUITE 315, MILWAUKEE, WI 53215-3677
(414) 649-5646
(414) 649-6282
Mailing address
2810 N 72ND ST, MILWAUKEE, WI 53210-1105
(414) 442-4872
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
7153
WI
Other
Enumeration date
08/03/2016
Last updated
12/13/2021
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