JENNIFER KRISTIN PROM

CEDARBURG, WI
NPI1902153844
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: WI  4891-33)
Enumeration Date2012-08-09
Last Update Date2012-08-09
Business Address
Mrs. JENNIFER KRISTIN PROM APNP
9025 OAKRIDGE LN
CEDARBURG, WI 53012-9388
Phone number: 262-375-6858
Mailing Address
Mrs. JENNIFER KRISTIN PROM APNP
9025 OAKRIDGE LN
CEDARBURG, WI 53012-9388
Phone number: 262-375-6858