Individual
PATRICIA L MISSALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3237 S 16TH ST, SUITE 210, MILWAUKEE, WI 53215-4526
(414) 384-6700
(414) 384-3008
Mailing address
3077 N MAYFAIR RD STE 305, WAUWATOSA, WI 53222-4305
(414) 384-6700
(414) 727-1058
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
223933
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43982500
—
WI
Enumeration date
09/11/2006
Last updated
02/25/2020
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