Individual
PAULETTE JO WHALEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
W267S7535 OLYMPIA CT N, WAUKESHA, WI 53189-9637
(414) 315-6607
Mailing address
W267S7535 OLYMPIA CT N, WAUKESHA, WI 53189-9637
(414) 315-6607
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
15701730
WI
363L00000X
Nurse Practitioner
Primary
10225-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157017-30
RN
WI
Enumeration date
07/21/2020
Last updated
11/12/2021
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