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Individual

NANCY MARY SMIEGOWSKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSN ANP-BC, GNP-BC

Contact information

Practice address
ZABLOCKI VA MEDICAL CTR, 5000 WEST NATIONAL AVENUE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
6120 TOWNLINE RD, WATERFORD, WI 53185-3104
(262) 895-2151

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
349556
WI
363LG0600X
Gerontology Nurse Practitioner
349556
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
39286500
WI
Enumeration date
10/21/2009
Last updated
10/21/2009
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