MISS Molly Marie Ullenberg, AGPCNP-BC
NPI #1689115818 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1689115818
- Entity Type
- Individual
- Name
- MISS Molly Marie Ullenberg, AGPCNP-BC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Primary Care
- Credential
- AGPCNP-BC
- Enumeration Date
- Mar 20, 2017
- Last Updated
- Mar 20, 2017
Practice Location
- Address
- 16655 W BLUEMOUND RD
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53005-5957
- Phone
- (414) 257-1708
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Primary Care — Primary Care |
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