| NPI | 1972043503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATASHA K PARISH Nurse Practitioner 414-745-4569 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2024-12-05 |