IndividualActive
Porshae Kimble, ADULT FAMILY HOME
NPI 1790384188 · Nurse's Aide · Milwaukee, WI
Provider details
- NPI number
- 1790384188
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Credential
- ADULT FAMILY HOME
- Sex
- Female
- Sole proprietor
- No
- License
- 30311 (WI)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
4428 W Lloyd St
Milwaukee, WI 53208-1207
Phone: (414) 395-3360
Approximate (ZIP-level) locationGet directions
Mailing address
4428 W Lloyd St
Milwaukee, WI 53208-1207
Registry dates
- Enumerated
- 2020-10-18
- Last updated
- 2020-10-18
- Certified
- 2020-10-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.