Provider Demographics
NPI:1467123612
Name:NURTURING PRENATAL PARENTS NETWORK
Entity Type:Organization
Organization Name:NURTURING PRENATAL PARENTS NETWORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER (CARE COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARNESHIA
Authorized Official - Middle Name:R
Authorized Official - Last Name:SUMMERVILLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:262-202-2014
Mailing Address - Street 1:5039 N 83RD ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-3645
Mailing Address - Country:US
Mailing Address - Phone:262-202-2014
Mailing Address - Fax:414-935-2150
Practice Address - Street 1:5039 N 83RD ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-3645
Practice Address - Country:US
Practice Address - Phone:262-202-2014
Practice Address - Fax:414-935-2150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-27
Last Update Date:2021-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty