NPI 1104548536

Laresa Alexis Shanae Owens, CNACBRF

Practitioner Nurse's Aide Milwaukee, WI

Practice location

Address: 3422 N 2nd St, Milwaukee, WI 53212-1557
Phone: (414) 737-1042
Mailing address: 6629 W Charles CT, Franklin, WI 53132-9268

Registered specialties (2)

Nurse's Aide Primary

Nursing Service Related Providers Taxonomy 376K00000X Licence WI031910101915 (WI)

Other Nurse's Aide providers in Wisconsin →

Home Health Aide

Nursing Service Related Providers Taxonomy 374U00000X Licence 00197312 (WI)

Other Home Health Aide providers in Wisconsin →

Registry record

NPI: 1104548536
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Sep 2022
Record last updated: 13 Sep 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.