Organization
SOUTHSIDE PRIMARY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS CARLISA RIVERA-ROBLES RN, APNP (FAMILY NURSE PRACTITIONER)
(414) 384-5420
Entity
Organization
Contact information
Practice address
2727 W CLEVELAND AVE, MILWAUKEE, WI 53215-2908
(414) 384-5420
(414) 384-0134
Mailing address
3053 W DREXEL AVE, UNIT 121, FRANKLIN, WI 53132-7923
(414) 389-9992
(414) 384-0134
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
2826033
WI
Other
Enumeration date
01/15/2007
Last updated
08/22/2020
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