Individual
ALISA A NEHLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4855 S MOORLAND RD, NEW BERLIN, WI 53151
(262) 432-7599
(262) 432-7694
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
20090240
TX
363LP0200X
Pediatric Nurse Practitioner
Primary
5540
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922314269
—
WI
Enumeration date
08/24/2010
Last updated
08/27/2018
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