Individual
LISA RAE CWIKLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
229 E WISCONSIN AVE, MILWAUKEE, WI 53202-4230
(414) 224-3737
Mailing address
2502 PEBBLE VALLEY RD, WAUKESHA, WI 53188-1530
(414) 828-3244
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11226-33
WI
Other
Enumeration date
08/18/2021
Last updated
08/18/2021
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