IndividualActive
Laresa Owens, CNA, CBRF
NPI 1104548536 · Nurse's Aide · Milwaukee, WI
Provider details
- NPI number
- 1104548536
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- CNA, CBRF
- Sex
- Female
- Sole proprietor
- No
- License
- 00197312 (WI)
Specialties & taxonomies
Nursing Service Related Providers
Nursing Service Related Providers
Practice location
3422 N 2nd St
Milwaukee, WI 53212-1557
Phone: (414) 737-1042
Approximate (ZIP-level) locationGet directions
Mailing address
6629 W Charles Ct
Franklin, WI 53132-9268
Registry dates
- Enumerated
- 2022-09-13
- Last updated
- 2022-09-13
- Certified
- 2022-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.