Individual
LIZA UKHANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
302 N JACKSON ST, MILWAUKEE, WI 53202-5904
(414) 271-8045
Mailing address
2135 PINE RIDGE CT UNIT A, GRAFTON, WI 53024-3104
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2009008877
WI
363LF0000X
Family Nurse Practitioner
4050-33
WI
Other
Enumeration date
04/27/2010
Last updated
04/15/2026
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