Ehab Innab, NP
Nurse Practitioner, Family in Milwaukee, WI. Individual provider (NPI-1).
NPI number1679110365
StatusActive
Last updated in NPPESMar 22, 2023
Details
- NPI
- 1679110365
- Entity type
- Individual (NPI-1)
- Name
- Ehab Innab
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2019
- Certification date
- Mar 22, 2023
- Last updated
- Mar 22, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 9221 | WI | Yes |
Practice location
9200 W Wisconsin AveMilwaukee, WI 53226-3522
Phone 414-955-0350 · Fax 414-805-6864
Mailing address
9200 W Wisconsin AveMilwaukee, WI 53226-3522
Phone 414-955-0350 · Fax 414-805-6864
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