Organization · Type 2 NPI
Children's Medical Group
Family Nurse Practitioner · Milwaukee, WI
NPI number
1417299488
Active
Practice location
2320 W Burleigh St
Milwaukee, WI 53206-1751
Fax (414) 431-9566
Mailing address
9000 W Wisconsin Ave, Mail Station 958
Milwaukee, WI 53226-4874
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
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About NPI 1417299488
Children's Medical Group's National Provider Identifier is 1417299488, issued on Mar 18, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 4, 2013.