Healthcare Provider Details

I. General information

NPI: 1518853704
Provider Name (Legal Business Name): CLARE KIRSTEN FRUMKIN APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 10/11/2025
Certification Date: 10/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 W WISCONSIN AVE
MILWAUKEE WI
53226-4874
US

IV. Provider business mailing address

N51W14664 LANCASTER AVE
MENOMONEE FALLS WI
53051-6950
US

V. Phone/Fax

Practice location:
  • Phone: 414-266-3360
  • Fax: 414-266-3563
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1734233
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: