Individual
MS. EILEEN C SHERBURNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP, CNS
Contact information
Practice address
9000 W WISCONSIN AVE, MS 616, MILWAUKEE, WI 53226-3518
(414) 266-2063
(414) 266-3622
Mailing address
9000 W WISCONSIN AVE, MS 616 PO BOX 1997, MILWAUKEE, WI 53226-3518
(414) 266-2063
(414) 266-3622
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1187-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194836460
—
WI
Enumeration date
08/31/2006
Last updated
01/31/2020
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