Colleen Anne Keane-Mullooly
Nurse Practitioner Gynecologist
302 N Jackson St
Milwaukee
, Wisconsin 53202-5904
Colleen Anne Keane-Mullooly
Nurse Practitioner Gynecologist
302 N Jackson St
Milwaukee
, Wisconsin 53202-5904
(608) 347-2297
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About
Features
Specialties
- Gynecologist
- Nurse Practitioner
Languages spoken
- English
Location
First Address
- Colleen Anne Keane-Mullooly
- 302 N Jackson St
- Milwaukee, WI
- Zip : 53202-5904
- Phone : (608) 347-2297
Second Address
- Colleen Anne Keane-Mullooly
- 302 N Jackson St
- Milwaukee, WI
- Zip : 53202-5904
- Phone : (608) 347-2297
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What type of doctor is Colleen Anne Keane-Mullooly
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Is Colleen Anne Keane-Mullooly a sole practitioner?
Is Colleen Anne Keane-Mullooly accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207VG0400X | Gynecologist | 2232-033 | WI |
| Y | 363L00000X | Nurse Practitioner | 2232-33 | WI |
National Provider Identifier
| NPI | 1043255367 |
|---|---|
| Provider Name | Colleen Anne Keane-Mullooly |
| First Address | Milwaukee, WI 53202-5904 |
| Second Address | Milwaukee, WI 53202-5904 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/06/2006 |
| Last Update Date | 30/12/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.