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Thousand Mile Journey Llc
Family Nurse Practitioner in Milwaukee, Wisconsin
NPI 1699159962

Thousand Mile Journey Llc is a Family Nurse Practitioner based in Milwaukee, WI and is specialized in Family. Thousand Mile Journey Llc practices in Milwaukee, WI. The NPI Number for Thousand Mile Journey Llc is 1699159962 and holds a License No. (Wisconsin).

The current practice location address for Thousand Mile Journey Llc is 10501 W Research Drive, Milwaukee, WI and can be reached out via phone at 414-543-3333 and via fax at 414-302-1040.

Location: 10501 W Research Drive, Milwaukee, WI, 53226-3449
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1699159962
Provider Name
Thousand Mile Journey Llc
Credential
Provider Entity Type
Organization
Address
10501 W Research Drive, Milwaukee, WI, 53226-3449
Phone Number
414-543-3333
Fax Number
414-302-1040
Provider Enumeration Date
07/16/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1699159962 05 WI
institution
Provider Business Practice Location Address Details
Address
10501 W Research Drive
City
Milwaukee
State
Wisconsin
Zip
53226-3444
Phone Number
414-543-3333
Fax Number
414-302-1040
person
Provider Business Mailing Address Details
Address
10501 W Research Drive
City
Milwaukee
State
Wisconsin
Zip
53226-3444
Phone Number
414-543-3333
Fax Number
414-302-1040
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
3110-33 (Wisconsin)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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