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Individual

MRS. JOY NICOLE BLATTNER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN, APNP

Contact information

Practice address
10701 W RESEARCH DR, WAUWATOSA, WI 53226-3452
(414) 940-2246
Mailing address
W149N6203 POCAHONTAS DR, MENOMONEE FALLS, WI 53051-5814
(262) 252-3991

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
136445
WI
363LF0000X
Family Nurse Practitioner
Primary
8299-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8299-33
APNP LICENSE NUMBER
WI
Enumeration date
02/15/2018
Last updated
03/19/2018
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