Individual
NASREIN BAHRAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 474, MILWAUKEE, WI 53215-3693
(414) 649-3370
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 474, MILWAUKEE, WI 53215-3693
(414) 649-3370
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
223640
WI
363L00000X
Nurse Practitioner
Primary
10573
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100063899
—
WI
Enumeration date
09/06/2016
Last updated
11/19/2021
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