Healthcare Provider Details

I. General information

NPI: 1336942077
Provider Name (Legal Business Name): READY SET GROW PRENATAL CARE COORDINATION STUDIO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/28/2025
Last Update Date: 06/17/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6091 N TEUTONIA AVE STE 105
MILWAUKEE WI
53209-3644
US

IV. Provider business mailing address

2155 W MILL RD APT 208
GLENDALE WI
53209-3462
US

V. Phone/Fax

Practice location:
  • Phone: 262-825-2470
  • Fax:
Mailing address:
  • Phone: 414-610-1886
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. SHIRRON JUDE
Title or Position: PRESIDENT & CEO
Credential: PNCC
Phone: 414-610-1886