Individual
CARISSA ABOUBAKARE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-BC
Contact information
Practice address
4805 S MOORLAND RD, NEW BERLIN, WI 53151-7401
(262) 798-7200
(414) 805-6622
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-6600
(414) 805-6622
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
209014953
IL
363LW0102X
Women's Health Nurse Practitioner
Primary
7588
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497206916
—
WI
Enumeration date
10/19/2016
Last updated
12/28/2021
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