Impacthealth, Llc

NPI 1104264001 - Registered Nurse - 163WC1500X

NPI Details
NPI 1104264001
Enumeration Date 06/13/2013
Last Updated 06/09/2014
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name YVETTE YVETTE
Position PRESIDENT
Phone (414) 771-0543
Fax (262) 649-4375
Practice Location
3219 N 51ST BLVD
MILWAUKEE WI, 53216-3235, US
Phone (414) 771-0543
Fax (262) 649-4375
Business Location
3219 N 51ST BLVD
MILWAUKEE WI, 53216-3235, US
Phone (414) 771-0543
Fax (262) 649-4375
Toxanomy
Taxonomy Code 163WC1500X
License State Wisconsin
License Number 10158-30
Remove 1104264001 NPI Number
 

According to our database, Impacthealth, Llc NPI is 1104264001, taxonomy code is 163WC1500X and license number is 10158-30, license state is located at Wisconsin. Impacthealth, Llc physically located at 3219 N 51st Blvd, Milwaukee WI, 53216-3235. NPI Number 1033115704 has the healthcare provider type.

Sponsored links

1104264001 NPI number is provided on an as is basis without warranty of any kind. 1104264001 is maintained by the National Plan & Provider Enumeration System. The contents of Impacthealth, Llc are for informational purposes only.