IndividualActive
Keisha Moore
NPI 1447704101 · Licensed Vocational Nurse · Milwaukee, WI
Provider details
- NPI number
- 1447704101
- Entity type
- Individual
- Primary specialty
- Licensed Vocational NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 312890-31 (WI)
Specialties & taxonomies
Nursing Service Providers
Practice location
8048 N Celina St
Milwaukee, WI 53224-2904
Phone: (414) 750-8525
Approximate (ZIP-level) locationGet directions
Mailing address
8048 N Celina St
Milwaukee, WI 53224-2904
Registry dates
- Enumerated
- 2016-08-11
- Last updated
- 2016-08-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.