Individual
PORSHA AMANNI CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1507 JANE LN, WAUKESHA, WI 53186-8326
(262) 225-8008
Mailing address
1901 N 17TH ST, MILWAUKEE, WI 53205-1627
(262) 225-8008
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
265455-30
WI
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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