Midwest Rnfa Providers

NPI #1124612734 in Mequon, Wisconsin

Provider Information

NPI Number: 1124612734
Entity Type: Organization
Organization Name: Midwest Rnfa Providers
Primary Specialty: Registered Nurse
Enumeration Date: Feb 24, 2021
Last Updated: Feb 24, 2021

Practice Location

Address: 12140 N RIVER RD
City: Mequon
State: Wisconsin
ZIP Code: 53092-2218
Phone: (214) 227-2457

Authorized Official

Name: ERIKA LIVINGSTON, RNFA SAC
Title: OWNER
Phone: (414) 943-6128

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Registered Nurse	163W00000X	Primary

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