MEDICARE: NEVAEH VEIN AND LASER MEDISPA

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	261Q00000X	Clinic/Center

General Provider Information

NPI Number	:	1528372943
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEVAEH VEIN AND LASER MEDISPA

Provider Business Mailing Address
First Line	:	103 E SILVER SPRING DR
Second Line	:
City	:	WHITEFISH BAY
State	:	WI
Zip	:	53217-4702
Country	:	US
Telephone Number	:	414-967-1716
Fax Number	:	414-967-1781

Provider Business Practice Location Address
First Line	:	103 E SILVER SPRING DR
Second Line	:
City	:	WHITEFISH BAY
State	:	WI
Zip	:	53217-4702
Country	:	US
Telephone Number	:	414-967-1716
Fax Number	:	414-967-1781

Authorized Official
Title or Position	:	RN/OWNER
Name	:	PAMELA E SHELDON
Credential	:	RN
Telephone Number	:	414-967-1716

Provider Enumeration Date	:	07/27/2010
Last Update Date	:	07/27/2010

Similar Medicare Providers

1013992619 — DR. JORDAN A MOORE MD
Practice Location Address:

121 E SILVER SPRING DR
WHITEFISH BAY, WI
53217-4702

Practice Phone: 414-964-9030
Practice Fax:

1487700571 — KORY K WEGNER
Practice Location Address:

105 E SILVER SPRING DR
WHITEFISH BAY, WI
53217-4702

Practice Phone: 414-964-0680
Practice Fax: 414-964-0682

1922322270 — JORDAN A MOORE MD SC
Practice Location Address:

121 E SILVER SPRING DR
WHITEFISH BAY, WI
53217-4702

Practice Phone: 414-964-9030
Practice Fax: 414-964-9620

1699232652 — FOZIYA KHAN
Practice Location Address:

170 BAY 22ND ST FL 2
BROOKLYN, NY
11214-4702

Practice Phone: 347-260-6003
Practice Fax:

1255325726 — ERIC ADAR MD
Practice Location Address:

6024 N LAKE DR
WHITEFISH BAY, WI
53217-4646

Practice Phone: 414-671-9833
Practice Fax: 866-504-7468

1851347793 — FRANCESCA M. LYND MD
Practice Location Address:

325 E SILVER SPRING DR
WHITEFISH BAY, WI
53217-5222

Practice Phone: 414-247-4800
Practice Fax: 414-247-4801

Directions to “NEVAEH VEIN AND LASER MEDISPA ” 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 © 2007-2025 (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.