Individual
ASIF MEHMOOD KHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3727 W WISCONSIN AVE, MILWAUKEE, WI 53208-3182
(414) 291-2626
Mailing address
3727 W WISCONSIN AVE, MILWAUKEE, WI 53208-3182
(414) 291-2626
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2023035143
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2023035143
ANCC
WI
Enumeration date
05/15/2023
Last updated
10/19/2023
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