Individual
DALISHA EDMOND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3365 S 103RD ST STE 210, MILWAUKEE, WI 53227-4161
(262) 814-7080
Mailing address
5833 W FOREST VIEW CT UNIT C, FRANKLIN, WI 53132-5503
(414) 949-3583
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
F04230167
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1588358436
—
WI
Enumeration date
06/05/2023
Last updated
07/12/2023
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