Organization · Type 2 NPI
Alpha Vita Healthcare
Family Nurse Practitioner · Kenosha, WI
NPI number
1609783182
Active
Practice location
6530 Sheridan Rd
Kenosha, WI 53143-5063
Fax (262) 657-8389
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | None listed |
Family Nurse Practitioner: Definition to come...
Another provider at this address
Other family nurse practitioner providers in Kenosha
About NPI 1609783182
Alpha Vita Healthcare's National Provider Identifier is 1609783182, issued on Aug 27, 2026. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kenosha, WI. The record was last updated on Aug 27, 2026.