KELLY VILLA

MEQUON, WI
NPI1184875494
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: WI  3589-033)
Additional Taxonomies176B00000X Midwife
(Licence: WI  148827-032)
Enumeration Date2008-10-06
Last Update Date2012-03-22
Business Address
-- KELLY VILLA CNM, NP, APNP
13111 N PORT WASHINGTON RD
MEQUON, WI 53097-2416
Phone number: 414-243-7300
Mailing Address
-- KELLY VILLA CNM, NP, APNP
13111 N PORT WASHINGTON RD
MEQUON, WI 53097-2416
Phone number: 262-243-7300