IndividualActive
Mary Jo Burgoyne, RN, MSN, APNP
NPI 1689696007 · Psychiatric/Mental Health Clinical Nurse Specialist · Milwaukee, WI
Provider details
- NPI number
- 1689696007
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- RN, MSN, APNP
- Sex
- Female
- Sole proprietor
- No
- License
- 66695-030 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Practice location
9200 W Wisconsin Ave
Suite C-2130
Milwaukee, WI 53226-3522
Phone: (414) 805-9990
Fax: (414) 805-0970
Approximate (ZIP-level) locationGet directions
Mailing address
1522 N Prospect Ave
Milwaukee, WI 53202-6512
Registry dates
- Enumerated
- 2006-07-24
- Last updated
- 2013-06-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.