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NPI Code Detail

MEDICARE: LISA MARIE ESPINOSA BSN, MSN, CNM

MEDICARE: LISA MARIE ESPINOSA BSN, MSN, CNM
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
1163W00000XRegistered Nurse134346-030WI
2367A00000XAdvanced Practice Midwife134346-032WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1730184227
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA MARIE ESPINOSA BSN, MSN, CNM
Provider Business Mailing Address
First Line : 2906 S 20TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-3732
Country : US
Telephone Number : 414-672-1353
Fax Number : 414-672-4265
Provider Business Practice Location Address
First Line : 2906 S 20TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53215-3732
Country : US
Telephone Number : 414-672-1353
Fax Number : 414-672-4265
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2005
Last Update Date : 03/07/2023

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