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NPI Code Detail

MEDICARE: NINA BIRCH M.S.

MEDICARE: NINA BIRCH M.S.
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
1235Z00000XSpeech-Language Pathologist7258-154WI

General Provider Information

NPI Number : 1669210456
Entity Type Code : Individual
Provider Name (Legal Business Name) : NINA BIRCH M.S.
Provider Business Mailing Address
First Line : 205 W SAINT PAUL AVE APT 433
Second Line :
City : WAUKESHA
State : WI
Zip : 53188-5145
Country : US
Telephone Number : 414-388-8381
Fax Number :
Provider Business Practice Location Address
First Line : 833 N 26TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53233-1507
Country : US
Telephone Number : 414-344-7676
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/17/2024
Last Update Date : 03/18/2026

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Directions to “ NINA BIRCH M.S.” Practice Location

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