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

TaxonomyCodeLicense
Family Nurse Practitioner Primary 363LF0000XNone listed

Family Nurse Practitioner: Definition to come...

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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.