Individual
MAISEE M SAYAOVANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2400 W VILLARD AVE, MILWAUKEE, WI 53209-4901
(414) 527-8191
(414) 527-8046
Mailing address
2400 W VILLARD AVE, MILWAUKEE, WI 53209-4901
(414) 527-8191
(414) 527-8046
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2013022291
WI
363LF0000X
Family Nurse Practitioner
Primary
6029
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881003861
—
WI
Enumeration date
08/04/2014
Last updated
10/09/2018
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