Provider Demographics
NPI:1407870587
Name:UNIVERSITY NURSE-MIDWIVES, A MARQUETTE UNIVERSITY NURSING FACULTY PRAC
Entity Type:Organization
Organization Name:UNIVERSITY NURSE-MIDWIVES, A MARQUETTE UNIVERSITY NURSING FACULTY PRAC
Other - Org Name:UNIVERSITY NURSE-MIDWIVES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DEAN, MARQUETTE COLLEGE OF NURSING
Authorized Official - Prefix:DR
Authorized Official - First Name:LEA
Authorized Official - Middle Name:
Authorized Official - Last Name:ACORD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, RN
Authorized Official - Phone:414-288-3812
Mailing Address - Street 1:530 N. 16TH ST.
Mailing Address - Street 2:ROOM 369
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53233
Mailing Address - Country:US
Mailing Address - Phone:414-288-3842
Mailing Address - Fax:414-288-7739
Practice Address - Street 1:2015 E NEWPORT AVE
Practice Address - Street 2:SUITE 309
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53211-2984
Practice Address - Country:US
Practice Address - Phone:414-961-2222
Practice Address - Fax:414-961-3661
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice MidwifeGroup - Single Specialty