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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LARESA ALEXIS SHANAE OWENS, CNA, CBRF

Active

LARESA ALEXIS SHANAE OWENS, CNA, CBRF is a Nurse's Aide healthcare provider located in MILWAUKEE, Wisconsin. NPI 1104548536 is currently active in the NPPES registry. Verify at CMS.

Nurse's Aide · MILWAUKEE, WI

Registration Details

NPI Number
1104548536
Provider Type
Individual
Gender
Female
NPI Issued
Sep 13, 2022 (3.9455082403057 yrs)
Last Updated
Sep 13, 2022
Licenses
00197312 (WI)
WI031910101915 (WI)

Practice Information

Address
3422 N 2ND ST
MILWAUKEE, WI, 532121557
Browse WI providers · Browse ZIP 53212
Phone
4147371042
Primary Specialty
Nurse's Aide
376K00000X
Additional Specialty
Nurse's Aide

Other Nurse's Aide Providers in MILWAUKEE, WI

Name Credential NPI
MRS. ELSIE MARIE COOK CMHT 1962606723
MISS JULIA LAURA NASH CNA 1215253331
MS. PEARLIE MAE CASTON 1215256177
MISS KINA REBECCA KING CAREGIVER 1831407592
MRS. TANYA ROCHELLE CONSTABLE 1356649461
MS. DONNA RENEE HOPKINS 1245502202
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.