Individual
JENNIFER MENAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-1450
(414) 955-0197
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-1450
(414) 955-0197
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
8336-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1982101887
—
WI
Enumeration date
04/09/2018
Last updated
03/26/2019
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