Individual
CALLIE JAE CHIROFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP-BC
Contact information
Practice address
5434 W CAPITOL DR, UNIT 3, MILWAUKEE, WI 53216-2298
(414) 875-0505
Mailing address
5434 W CAPITOL DR, UNIT 3, MILWAUKEE, WI 53216-2298
(414) 875-0505
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
5003-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1548511371
—
WI
Enumeration date
09/19/2012
Last updated
06/05/2023
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