Healthcare Provider Details

I. General information

NPI: 1538081666
Provider Name (Legal Business Name): CHRISTINE GOWIN APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9000 W WISCONSIN AVE
MILWAUKEE WI
53226-4874
US

IV. Provider business mailing address

2100 E ESTES ST
MILWAUKEE WI
53207-2310
US

V. Phone/Fax

Practice location:
  • Phone: 414-266-3560
  • Fax: 414-266-6092
Mailing address:
  • Phone: 786-390-3859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number1880633
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: