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

IDEAL COMMUNITY LIVING

Active Organization

Diabetes Educator Nurse · BROWN DEER, WI

Registration Details

NPI Number
1194688747
Provider Type
Organization
NPI Issued
Dec 9, 2025 (0.36725983595475 yrs)
Last Updated
Dec 17, 2025

Practice Information

Address
3900 W BROWN DEER RD STE C9
BROWN DEER, WI, 532091220
Browse WI providers · Browse ZIP 53209
Phone
2624691053
Fax
8558538249
Primary Specialty
Diabetes Educator Nurse
163WD0400X
Additional Specialty
Pediatric Nutrition
Additional Specialty
132700000X
Additional Specialty
207QD0401X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.