OrganizationActive
Rising Phoenix Heart Institute
NPI 1073940235 · Medical Specialty Clinic/Center · West Allis, WI
Provider details
- NPI number
- 1073940235
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nadia Moussavi, President(414) 541-7158
- License
- 34544 (WI)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
2323 S 109th St
Suite 195
West Allis, WI 53227-1909
Phone: (414) 541-7158
Fax: (414) 541-7514
Approximate (ZIP-level) locationGet directions
Mailing address
2323 S 109th St
West Allis, WI 53227-1909
Registry dates
- Enumerated
- 2013-10-02
- Last updated
- 2013-10-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.