Individual provider · Type 1 NPI
Nicholas Perifanos, NURSE PRACTITIONER
Nurse Practitioner · Milwaukee, WI
Practice location
3289 N Mayfair Rd
Milwaukee, WI 53222-3203
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Other practice locations
- 10625 W North Ave Ste 102, Wauwatosa, WI 53226-2315 · (414) 877-5350
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 6840-33 (WI) |
| Nurse Practitioner Primary | 363L00000X | 6840 (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 1730549387
Nicholas Perifanos, NURSE PRACTITIONER's National Provider Identifier is 1730549387, issued on Feb 24, 2016. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Milwaukee, WI. The record was last updated on Feb 27, 2025.