Organization · Type 2 NPI
Lakeside Family Practice
Family Nurse Practitioner · Kenosha, WI
NPI number
1831698430
Active
Practice location
3200 Sheridan Rd Ste 104
Kenosha, WI 53140-1921
Mailing address
2113 Tallgrass Cir
Waukesha, WI 53188-2606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 2011006054 (WI) |
| Gerontology Nurse Practitioner | 363LG0600X | 6190-33 (WI) |
Family Nurse Practitioner: Definition to come...
5 other providers at this address
- Sacred Art Counseling, LLCCommunity/Behavioral Health Agency Kenosha, WI NPI 1295260545
- Alexandria Francis, LPC-ITProfessional Counselor Kenosha, WI NPI 1154185866
- Kari Kellar, LPC-ITProfessional Counselor Kenosha, WI NPI 1457046609
- Kimberly Ann Oleksak, MSCC, LPCMental Health Counselor Kenosha, WI NPI 1144616277
- Louise A. Schaefer, LPC-IT, SAC-ITProfessional Counselor Kenosha, WI NPI 1790496164
Other family nurse practitioner providers in Kenosha
About NPI 1831698430
Lakeside Family Practice's National Provider Identifier is 1831698430, issued on Feb 8, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Kenosha, WI. The record was last updated on Feb 8, 2018.