Individual
LISA EILEEN CALABRESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
4570 S 27TH ST, MILWAUKEE, WI 53221-2145
(414) 672-1353
(414) 672-4265
Mailing address
1337 S CESAR E CHAVEZ DR, MILWAUKEE, WI 53204-2712
(414) 672-1353
(414) 672-4265
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
8780
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8780
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801376140
—
WI
Enumeration date
08/16/2018
Last updated
11/30/2023
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