Individual
CLAUDE LATAILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3056 S KINNICKINNIC AVE, MILWAUKEE, WI 53207-2583
(414) 769-4904
(414) 769-4910
Mailing address
3056 S KINNICKINNIC AVE, MILWAUKEE, WI 53207-2583
(414) 769-4900
(414) 769-4910
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2190
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41175200
—
WI
Enumeration date
11/01/2006
Last updated
06/02/2025
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