Individual
ANNALYSE VICTORIA VICTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, APNP
Contact information
Practice address
N16W24131 RIVERWOOD DR, CANCER CENTER, WAUKESHA, WI 53188-1106
(262) 930-0005
Mailing address
W369S10410 SHEARER RD, EAGLE, WI 53119-1719
(262) 930-0005
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
17809930
WI
363LF0000X
Family Nurse Practitioner
6452
WI
363LP2300X
Primary Care Nurse Practitioner
Primary
6452-33
WI
Other
Enumeration date
07/11/2012
Last updated
12/28/2018
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