Most Relevant Information
Provider Data
| NPI Number: | 1003363870 |
| Provider Name: | JENNIFER HIDALGO HRUZ |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 2016013734 |
Most Important Dates
| Enumeration Date: | 09/08/2016 |
| Last Updated: | 09/29/2016 |
Provider Practice Location
2355 S KRAHN RD
NEW BERLIN
WI
531512935
Practice Location Phone/Fax
| Phone: | 4142483394 |
| Fax: |
Provider Mailing Location
1428 E RACINE AVE
WAUKESHA
WI
531866462
Provider Mailing Phone/Fax
| Phone: | 2628328888 |
| Fax: | 2628060028 |