Individual
MS. CHARMAINE G MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2700 W HONADEL BLVD, OAK CREEK, WI 53154-2650
(630) 571-8990
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(630) 571-8990
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
0017138400
VA
363L00000X
Nurse Practitioner
Primary
142795
WI
363LF0000X
Family Nurse Practitioner
142795
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100025681
—
WI
Enumeration date
06/01/2006
Last updated
02/06/2023
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