Individual
DANIELLE K B NEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W168N11237 WESTERN AVE, GERMANTOWN, WI 53022-3239
(262) 253-5060
Mailing address
6124 W WISCONSIN AVE, WAUWATOSA, WI 53213-4108
(920) 253-5150
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
7982-33
WI
363L00000X
Nurse Practitioner
Primary
7982
WI
Other
Enumeration date
09/13/2017
Last updated
02/26/2018
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