Organization · Type 2 NPI

Minuteclinic Primary Care Wisconsin LLC

Family Nurse Practitioner · Milwaukee, WI

NPI number 1104636281 Active

Practice location

1650 N Farwell Ave
Milwaukee, WI 53202-2331

Mailing address

PO Box 772
Woonsocket, RI 02895-0784

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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About NPI 1104636281

Minuteclinic Primary Care Wisconsin LLC's National Provider Identifier is 1104636281, issued on Jan 10, 2025. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Milwaukee, WI. The record was last updated on Mar 26, 2026.