Individual
MRS. FATIMA ALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10843 N PEBBLE LN, MEQUON, WI 53092-5828
(262) 573-5353
Mailing address
10843 N PEBBLE LN, MEQUON, WI 53092-5828
(262) 573-5353
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
17172
WI
Other
Enumeration date
07/30/2025
Last updated
07/30/2025
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