Most Relevant Information
Provider Data
| NPI Number: | 1003598491 |
| Provider Name: | MOLLY ELIZABETH LIDDELL DNP RN AGCNS-BC |
| Entity Type: | Individual |
| Taxonomy Code: | 364S00000X |
| Specialty: | Clinical Nurse Specialist |
| License Number: | 196383-30 |
Most Important Dates
| Enumeration Date: | 08/03/2023 |
| Last Updated: | 08/03/2023 |
Provider Practice Location
900 N 92ND ST
MILWAUKEE
WI
532261202
Practice Location Phone/Fax
| Phone: | 4144547154 |
| Fax: |
Provider Mailing Location
7913 EAGLE ST
WAUWATOSA
WI
532131150
Provider Mailing Phone/Fax
| Phone: | 8473210791 |
| Fax: |