Organization
NISA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAYLA RUBANI (DIRECTOR)
(414) 604-6472
Entity
Organization
Contact information
Practice address
6830 W VILLARD AVE, SUITE 190, MILWAUKEE, WI 53218-3968
(414) 604-6472
Mailing address
6830 W VILLARD AVE, SUITE 190, MILWAUKEE, WI 53218-3968
(414) 604-6472
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245574714
NPI
WI
Enumeration date
02/13/2013
Last updated
02/13/2013
Update your record
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