Individual
MRS. LYNN ROSE MALONEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2717 N GRANDVIEW BLVD, SUITE 202, WAUKESHA, WI 53188-1672
(262) 513-0700
(262) 513-0707
Mailing address
12940 WALNUT RD, ELM GROVE, WI 53122-1826
(262) 782-7658
(262) 782-7608
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
64547-030
WI
363LG0600X
Gerontology Nurse Practitioner
Primary
64547-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43915300
—
WI
01
—
P00222077
RAILROAD
WI
Enumeration date
10/31/2005
Last updated
09/11/2025
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