MEDICARE: KATINA WIMBERLY

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	172V00000X	Community Health Worker		WI

General Provider Information

NPI Number	:	1407181803
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATINA WIMBERLY

Provider Business Mailing Address
First Line	:	2413 W NATIONAL AVE APT 8
Second Line	:	2413 W NATIONAL APT 8
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-1016
Country	:	US
Telephone Number	:	414-383-7142
Fax Number	:

Provider Business Practice Location Address
First Line	:	2413 W NATIONAL AVE APT 8
Second Line	:	2413 W NATIONAL APT 8
City	:	MILWAUKEE
State	:	WI
Zip	:	53204-1016
Country	:	US
Telephone Number	:	414-383-7142
Fax Number	:

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

Provider Enumeration Date	:	10/02/2009
Last Update Date	:	10/02/2009

Similar Medicare Providers

1649541798 — HEAVENLY CARE
Practice Location Address:

1016 W PIERCE ST
MILWAUKEE, WI
53204-1327

Practice Phone: 414-610-4557
Practice Fax: 414-434-1981

1902896277 — GLEN MEDICAL IMAGING, INC.
Practice Location Address:

251 MILWAUKEE AVE , SUITE 1016
BUFFALO GROVE, IL
60089-2809

Practice Phone: 847-215-9840
Practice Fax: 847-215-9843

1073839528 — EASTER SEALS SOUTHEAST WISCONSIN
Practice Location Address:

1016 MILWAUKEE AVE
SOUTH MILWAUKEE, WI
53172-2006

Practice Phone: 414-571-5566
Practice Fax:

1588292692 — DR. MATTHEW DAVID NICHOLS DO
Practice Location Address:

1016 W LAYTON AVE
MILWAUKEE, WI
53321

Practice Phone: 414-508-2363
Practice Fax: 888-355-6740

1750026449 — 16TH STREET COMMUNITY HEALTH CENTER INC.
Practice Location Address:

1016 W OKLAHOMA AVE
MILWAUKEE, WI
53215-4746

Practice Phone: 414-672-1353
Practice Fax:

1124701156 — DANA MARIE ASMONDY NP
Practice Location Address:

1016 W LAYTON AVE
MILWAUKEE, WI
53321

Practice Phone: 414-508-2363
Practice Fax: 888-355-6740

Directions to “ KATINA WIMBERLY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.