Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 3994-33 | WI |
NPI | 1003139072 |
---|---|
Provider Name | Mrs. Karen Elizabeth Mcnerney |
First Address | Milwaukee, WI 53212-3958 |
Second Address | Milwaukee, WI 53212-3958 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/03/2010 |
Last Update Date | 13/10/2010 |