Individual
ERIN BROADWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
10200 W INNOVATION DR STE 400, MILWAUKEE, WI 53226-4826
(414) 944-2038
Mailing address
1110 N 119TH ST, WAUWATOSA, WI 53226-3304
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10494-33
WI
Other
Enumeration date
12/22/2020
Last updated
06/29/2022
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