| NPI | 1477226249 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANICE MATTHEWS Registered Nurse 414-446-5578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health |
| 163WH1000X Registered Nurse Hospice | |
| 163WI0600X Registered Nurse Infection Control | |
| 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult | |
| 163WU0100X Registered Nurse Urology | |
| 163WX0106X Registered Nurse Occupational Health | |
| 163WX1500X Registered Nurse Ostomy Care | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2021-07-28 |