MEDICARE: LAREE ANN SAVLAN C-FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	4388033	WI
2	363LF0000X	Family Nurse Practitioner	CNP00700	NM
3	163WP0808X	Psychiatric/Mental Health Registered Nurse	R33850	NM
4	163WP0808X	Psychiatric/Mental Health Registered Nurse	175244030	WI

General Provider Information

NPI Number	:	1356510598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LAREE ANN SAVLAN C-FNP

Provider Business Mailing Address
First Line	:	2873 E RHODE ISLAND AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53207-3051
Country	:	US
Telephone Number	:	575-313-5578
Fax Number	:

Provider Business Practice Location Address
First Line	:	1834 W WISCONSIN AVE
Second Line	:	SUITE 100
City	:	MILWAUKEE
State	:	WI
Zip	:	53233-2125
Country	:	US
Telephone Number	:	414-933-9100
Fax Number	:	414-933-9200

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/21/2008
Last Update Date	:	05/20/2011

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Directions to “ LAREE ANN SAVLAN C-FNP” Practice Location

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