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Organization

J&P HARIRIE MIDLEVEL HEALTHCARE ASSOCIATES

Active
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Organization

J&P HARIRIE MIDLEVEL HEALTHCARE ASSOCIATES

Active
Other names
Advanced Lipidology
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PAULINE F HARIRIE APNP (PRESIDENT)
(262) 646-3223
Entity
Organization

Contact information

Practice address
N27W23953 PAUL RD, STE 101, PEWAUKEE, WI 53072-6243
(262) 646-3223
(262) 646-3443
Mailing address
N27W23953 PAUL RD, STE 101, PEWAUKEE, WI 53072-6243
(262) 646-3223
(262) 646-3443

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0019493-20
WI
363AM0700X
Medical Physician Assistant
838-023
WI
364SF0001X
Family Health Clinical Nurse Specialist
1842-33
WI
364SF0001X
Family Health Clinical Nurse Specialist
Primary
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
029770069
MEDICARE
WI
05
36001800
WI
01
465050072
MEDICARE
WI
Enumeration date
09/04/2013
Last updated
08/31/2018
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