Healthcare Provider Details

I. General information

NPI: 1134256951
Provider Name (Legal Business Name): CATHERINE FLOWERS R.N.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4383 N 27TH ST
MILWAUKEE WI
53216-1809
US

IV. Provider business mailing address

4383 N 27TH ST
MILWAUKEE WI
53216-1809
US

V. Phone/Fax

Practice location:
  • Phone: 414-871-8883
  • Fax: 414-871-8950
Mailing address:
  • Phone: 414-871-8883
  • Fax: 414-871-8950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WA0400X
TaxonomyAddiction (Substance Use Disorder) Registered Nurse
License Number
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: