Individual
MARTINA M SULLIVAN-KONYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2400 W VILLARD AVE, MILWAUKEE, WI 53209-4901
(414) 527-8191
Mailing address
3044 N 74TH ST, MILWAUKEE, WI 53210-1017
(414) 745-0656
Taxonomy
Speciality
Code
Description
License number
State
163WM0102X
Maternal Newborn Registered Nurse
Primary
25058130
WI
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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