Provider Demographics
NPI:1689833634
Name:CLEEK, ELIZABETH A (RN MS CPNP)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:A
Last Name:CLEEK
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Gender:F
Credentials:RN MS CPNP
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Mailing Address - Street 1:MS C665 PO BOX 1997
Mailing Address - Street 2:CHILDRENS HOSPITAL OF WISCONSIN
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53201-1997
Mailing Address - Country:US
Mailing Address - Phone:414-266-2881
Mailing Address - Fax:414-337-7151
Practice Address - Street 1:999 N 92ND STREET
Practice Address - Street 2:CHILDRENS HOSPITAL OF WISCONSIN
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53201-1997
Practice Address - Country:US
Practice Address - Phone:414-266-2881
Practice Address - Fax:414-337-7151
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2008-06-05
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Provider Licenses
StateLicense IDTaxonomies
WI233533363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics