Individual
GENA M MOSCONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC, APNP
Contact information
Practice address
6030 W OKLAHOMA AVE, MILWAUKEE, WI 53219-4133
(414) 546-2992
Mailing address
841 N BROADWAY, MILWAUKEE, WI 53202-3640
(414) 777-3413
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5494-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100036750
—
WI
Enumeration date
03/23/2014
Last updated
03/15/2024
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