OrganizationActive
Aeterna Life LLC
NPI 1275336919 · Health Service Clinic/Center · Milwaukee, WI
Provider details
- NPI number
- 1275336919
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Maya Westmoreland, Owner(414) 403-5567
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
7505 W Thurston Ave
Milwaukee, WI 53218-2264
Phone: (414) 301-3661
Approximate (ZIP-level) locationGet directions
Mailing address
7505 W Thurston Ave
Milwaukee, WI 53218-2264
Registry dates
- Enumerated
- 2025-03-28
- Last updated
- 2025-03-28
- Certified
- 2025-03-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.