Individual
GINA M HARRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
36500 AURORA DR, SUMMIT, WI 53066-4899
(414) 649-3780
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(414) 649-3780
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
10328-33
WI
Other
Enumeration date
05/13/2021
Last updated
01/03/2022
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