Organization · Type 2 NPI

Children's Medical Group

Family Nurse Practitioner · Milwaukee, WI

NPI number 1972845931 Active

Practice location

1350 W North Ave
Milwaukee, WI 53205-1257

Call (414) 431-9559 Map

Fax (414) 431-9562

Mailing address

9000 W Wisconsin Ave, Mail Station 958
Milwaukee, WI 53226-4874

Specialties and licenses

Taxonomy	Code	License
Family Nurse Practitioner Primary	363LF0000X	None listed

Family Nurse Practitioner: Definition to come...

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NPI record

NPI: 1972845931
Entity type: Organization (Type 2)
Issued: Mar 18, 2013
Last updated: Oct 4, 2013
Status: Active
Subpart: Yes of Children's Medical Group

Other names

<unavail>
Northside Ymca · doing business as

Authorized official

Dr. Smriti Khare, MD
President, Children's Medical Group
(414) 266-7615

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972845931

Children's Medical Group's National Provider Identifier is 1972845931, issued on Mar 18, 2013. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Milwaukee, WI. The record was last updated on Oct 4, 2013.