Individual
MIANGEL LISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2217 N 15TH ST, MILWAUKEE, WI 53205-1212
(414) 204-5447
Mailing address
2217 N 15TH ST, MILWAUKEE, WI 53205-1212
(414) 204-5447
Taxonomy
Speciality
Code
Description
License number
State
364SH0200X
Home Health Clinical Nurse Specialist
Primary
251E00000X
WI
Other
Enumeration date
04/10/2026
Last updated
04/10/2026
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