Individual
MRS. LIANE NICOLE BAHAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
2900 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4330
(414) 649-6000
Mailing address
11 S CHURCH ST, ELKHORN, WI 53121-1707
(651) 356-0057
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
11022-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100184796
—
WI
Enumeration date
08/02/2021
Last updated
10/16/2025
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