Healthcare Provider Details

I. General information

NPI: 1932558947
Provider Name (Legal Business Name): NATHANIEL MURKEN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/09/2016
Last Update Date: 10/27/2025
Certification Date: 10/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 W CAPITOL DR
MILWAUKEE WI
53212-1185
US

IV. Provider business mailing address

220 W CAPITOL DR
MILWAUKEE WI
53212-1185
US

V. Phone/Fax

Practice location:
  • Phone: 414-727-6320
  • Fax: 414-727-6328
Mailing address:
  • Phone: 414-727-6320
  • Fax: 414-727-6328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: