Individual
MARISA BALKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
8651 W NORTH AVE, WAUWATOSA, WI 53226-2721
(414) 774-9200
Mailing address
8651 W NORTH AVE, WAUWATOSA, WI 53226-2721
(414) 774-9200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
17242
WI
363L00000X
Nurse Practitioner
Primary
17242-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
17242-33
WI
Other
Enumeration date
08/06/2025
Last updated
02/18/2026
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