Individual
MR. KEVIN MICHAEL NIEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, DNP, FNP-C
Contact information
Practice address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6450
(414) 955-0082
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 955-6450
(414) 955-0082
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13473-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1316652324
—
WI
Enumeration date
01/16/2023
Last updated
03/21/2023
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