Individual
ANDREA JURGILANIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
13111 N PORT WASHINGTON RD, MEQUON, WI 53097-2416
(262) 243-7300
Mailing address
13111 N PORT WASHINGTON RD, MEQUON, WI 53097-2416
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
176640
WI
363LF0000X
Family Nurse Practitioner
Primary
11299-33
WI
Other
Enumeration date
08/31/2021
Last updated
09/09/2021
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