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NPI Code Detail

MEDICARE: LOUISE NOWELL

MEDICARE: LOUISE NOWELL
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
1172V00000XCommunity Health Worker
2172V00000XCommunity Health WorkerWI

General Provider Information

NPI Number : 1710779434
Entity Type Code : Individual
Provider Name (Legal Business Name) : LOUISE NOWELL
Provider Business Mailing Address
First Line : 3728 S 43RD ST APT 8
Second Line :
City : MILWAUKEE
State : WI
Zip : 53220-2159
Country : US
Telephone Number : 414-202-8854
Fax Number :
Provider Business Practice Location Address
First Line : 3728 S 43RD ST APT 8
Second Line :
City : MILWAUKEE
State : WI
Zip : 53220-2159
Country : US
Telephone Number : 414-202-8854
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2025
Last Update Date : 05/19/2025

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Directions to “ LOUISE NOWELL ” Practice Location

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