CHILDREN'S MEDICAL GROUP NPI 1972845931

NPI Information

NPI: 1972845931
Provider Name: CHILDREN'S MEDICAL GROUP

Doing Business As: NORTHSIDE YMCA

Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
1350 W NORTH AVE
MILWAUKEE, WI
ZIP 53205
Phone: (414) 431-9559
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CHILDREN'S MEDICAL GROUP is a family nurse practitioner in Milwaukee, WI. CHILDREN'S MEDICAL GROUP NPI is 1972845931. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Northside Ymca.

The provider's business location address is:

1350 W NORTH AVE
MILWAUKEE, WI
ZIP 53205-257
Phone: (414) 431-9559
Fax: (414) 431-9562

The provider's authorized official is Smriti Khare .
The authorized official title is President, Children's Medical Group and has the following contact phone number (414) 266-7615.

The enumeration date for this NPI number is 3/18/2013 and was last updated on 10/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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