Individual provider · Type 1 NPI
Kimiyo M. Masaka, APNP
Nurse Practitioner · Milwaukee, WI
Practice location
2801 W Kinnickinnic River Pkwy
Milwaukee, WI 53215-3669
Mailing address
PO Box 735031
Chicago, IL 60673-5031
Other practice locations
- 9200 W Wisconsin Ave, Milwaukee, WI 53226-3522 · (414) 805-6850
- 8850 William Coffey Dr, Milwaukee, WI 53226-1264 · (414) 805-3666
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 13017-33 (WI) |
| Registered Nurse | 163W00000X | 235093-30 (WI) |
Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…
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About NPI 1669105979
Kimiyo M. Masaka, APNP's National Provider Identifier is 1669105979, issued on Jul 5, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Milwaukee, WI. The record was last updated on Aug 30, 2024.