Individual
MS. MICHELLE LYNN ALFRED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
9200 W WISCONSIN AVE, DIVISION OF NEPHROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3100
(414) 259-1145
Mailing address
9200 W WISCONSIN AVE, DIVISION OF NEPHROLOGY, MILWAUKEE, WI 53226-3522
(414) 805-3100
(414) 259-1145
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
1-132046
AL
363LA2200X
Adult Health Nurse Practitioner
Primary
5538
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1154608719
—
WI
Enumeration date
11/10/2011
Last updated
08/11/2015
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