Healthcare Provider Details

I. General information

NPI: 1235206871
Provider Name (Legal Business Name): MARGUERITE NOT USED TOUSIGNANT R N
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10731 W KEEFE AVE
WAUWATOSA WI
53222-3357
US

IV. Provider business mailing address

10731 W KEEFE AVE
WAUWATOSA WI
53222-3357
US

V. Phone/Fax

Practice location:
  • Phone: 414-771-9733
  • Fax:
Mailing address:
  • Phone: 414-771-9733
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number51284-030
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: