Individual
NAHAL RAHMANPANAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3509 DEWEY ST, MANITOWOC, WI 54220-5813
(920) 686-5724
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843
(920) 686-5724
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
9397-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100091041
—
WI
Enumeration date
07/19/2019
Last updated
02/06/2023
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