Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363L00000X | Nurse Practitioner | 1701-033 | WI |
N | 363L00000X | Nurse Practitioner | 48990-030 | WI |
NPI | 1013024900 |
---|---|
Provider Name | Ms. Ann M Yockey |
First Address | Milwaukee, WI 53215-2843 |
Second Address | Milwaukee, WI 53233 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/08/2006 |
Last Update Date | 08/07/2007 |