David, Angela Jill

David, Angela Jill is an individual health care provider with primary practice located at 975 Port Washington Rd , Grafton WI 53024-9204. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. David, Angela Jill can be contacted via phone (262) 329-1000.

Contact Information

Primary practice address
975 Port Washington Rd Grafton WI 53024-9204
Phone: (262) 329-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 9015-33 Wisconsin

Profile Details

NPI number 1538624010
LBN Legal business name David, Angela Jill
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2019
Last updated Dec 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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