MEDICARE: MONIQUE SHANTEL EJIMBE RN

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	163WC1500X	Community Health Registered Nurse	236334-30	WI

General Provider Information

NPI Number	:	1669064606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONIQUE SHANTEL EJIMBE RN

Provider Business Mailing Address
First Line	:	7733 W FIEBRANTZ AVE # A
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53222-2018
Country	:	US
Telephone Number	:	414-213-4101
Fax Number	:

Provider Business Practice Location Address
First Line	:	6562 N 73RD ST
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53223-6122
Country	:	US
Telephone Number	:	414-213-4101
Fax Number	:

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

Provider Enumeration Date	:	02/10/2021
Last Update Date	:	02/05/2026

Similar Medicare Providers

1447440227 — MEDWIN MED SUPPL INC
Practice Location Address:

6122 N MILWAUKEE AVE
CHICAGO, IL
60646-3805

Practice Phone: 773-775-7899
Practice Fax: 773-358-7727

1689524258 — JOY CHISA OKORO
Practice Location Address:

7506 N 79TH ST
MILWAUKEE, WI
53223-4512

Practice Phone: 414-213-5050
Practice Fax:

1770434953 — KYLAH M BECK
Practice Location Address:

9030 N 75TH ST
MILWAUKEE, WI
53223-2010

Practice Phone: 262-525-4959
Practice Fax:

1730184557 — NORTHRIDGE DENTAL CENTER S.C.
Practice Location Address:

7906 N 76TH ST
MILWAUKEE, WI
53223-3916

Practice Phone: 414-354-9020
Practice Fax:

1598759599 — YOLANDA C REESE M.D.
Practice Location Address:

7720 W. GOOD HOPE RD.
MILWAUKEE, WI
53223

Practice Phone: 414-536-0236
Practice Fax: 414-536-0260

1700868825 — ELIZABETH NOLDER PHARMACIST
Practice Location Address:

7300 W DEAN RD
MILWAUKEE, WI
53223-2637

Practice Phone: 414-371-7380
Practice Fax: 414-371-7525

Directions to “ MONIQUE SHANTEL EJIMBE RN” 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.