Individual provider · Type 1 NPI

Laresa Alexis Shanae Owens, CNA, CBRF

Nurse's Aide · Milwaukee, WI

NPI number 1104548536 Active

Practice location

3422 N 2nd St
Milwaukee, WI 53212-1557

Call (414) 737-1042 Map

Mailing address

6629 W Charles Ct
Franklin, WI 53132-9268

Specialties and licenses

TaxonomyCodeLicense
Home Health Aide 374U00000X00197312 (WI)
Nurse's Aide Primary 376K00000XWI031910101915 (WI)

Nurse's Aide: (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional…

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About NPI 1104548536

Laresa Alexis Shanae Owens, CNA, CBRF's National Provider Identifier is 1104548536, issued on Sep 13, 2022. The primary taxonomy on file is Nurse's Aide (376K00000X), and the practice location is in Milwaukee, WI. The record was last updated on Sep 13, 2022.