Healthcare Provider Details

I. General information

NPI: 1801762166
Provider Name (Legal Business Name): JUNE CAGUIAT FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2025
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

275 W WISCONSIN AVE STE 210
MILWAUKEE WI
53203-3301
US

IV. Provider business mailing address

275 W WISCONSIN AVE STE 210
MILWAUKEE WI
53203-3301
US

V. Phone/Fax

Practice location:
  • Phone: 800-532-1726
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN9607051
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: