Individual
MS. ANNICE VIOLA MILLSAPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3030 W MICHIGAN ST, MILWAUKEE, WI 53208-4606
(414) 616-1922
Mailing address
3030 W MICHIGAN ST, MILWAUKEE, WI 53208-4606
(414) 616-1922
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
31516131
WI
Other
Enumeration date
02/29/2012
Last updated
02/29/2012
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