Individual provider · Type 1 NPI
Kaylan Moran Fenton, ANP-BC
Adult Health Nurse Practitioner · Milwaukee, WI
NPI number
1629210208
Active
Practice location
9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Fax (414) 805-1101
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 6699-33 (WI) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1629210208
Kaylan Moran Fenton, ANP-BC's National Provider Identifier is 1629210208, issued on Mar 30, 2009. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Milwaukee, WI. The record was last updated on Jul 14, 2022.