Organization · Type 2 NPI

Thousand Mile Journey LLC

Family Nurse Practitioner · Milwaukee, WI

NPI number 1699159962 Active

Practice location

10501 W Research Drive, Suite G200
Milwaukee, WI 53226-3444

Call (414) 543-3333 Map

Fax (414) 302-1040

Mailing address

10501 W Research Dr, Suite G200
Milwaukee, WI 53226-3449

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Family Nurse Practitioner Primary 363LF0000X3110-33 (WI)

Family Nurse Practitioner: Definition to come...

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About NPI 1699159962

Thousand Mile Journey LLC's National Provider Identifier is 1699159962, issued on Jul 16, 2015. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Milwaukee, WI. The record was last updated on Mar 22, 2016.