Healthcare Provider Details

I. General information

NPI: 1609701101
Provider Name (Legal Business Name): EMPOWERHER MATERNAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2026
Last Update Date: 06/16/2026
Certification Date: 06/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 W EGGERT PL
MILWAUKEE WI
53218-4401
US

IV. Provider business mailing address

4800 W EGGERT PL
MILWAUKEE WI
53218-4401
US

V. Phone/Fax

Practice location:
  • Phone: 414-293-2988
  • Fax:
Mailing address:
  • Phone: 414-293-2988
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. NIKKI MCNEAL
Title or Position: OWNER
Credential:
Phone: 414-293-2988