Individual
MS. INSHIRAH FARHOUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5433 W FOND DU LAC AVE, MIDTOWN PEDIATRICS, MILWAUKEE, WI 53216-1382
(414) 277-8900
(414) 266-8939
Mailing address
5433 W FOND DU LAC AVE, MIDTOWN PEDIATRICS, MILWAUKEE, WI 53216-1382
(414) 277-8900
(414) 266-8939
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
115515
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005006261L
HUMANA
—
05
—
1689628976
—
WI
Enumeration date
05/20/2006
Last updated
11/17/2016
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