Provider Demographics
NPI:1801395686
Name:MOBILE CARE NP, LLC
Entity Type:Organization
Organization Name:MOBILE CARE NP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NPBO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSALYN
Authorized Official - Middle Name:LAKEY
Authorized Official - Last Name:MCFARLAND
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, RN, APNP, FNP-C
Authorized Official - Phone:414-308-9468
Mailing Address - Street 1:11214 W PEREGRINE WAY
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:53228-3138
Mailing Address - Country:US
Mailing Address - Phone:414-534-0604
Mailing Address - Fax:414-433-1852
Practice Address - Street 1:5050 W BROWN DEER RD
Practice Address - Street 2:
Practice Address - City:BROWN DEER
Practice Address - State:WI
Practice Address - Zip Code:53223-2424
Practice Address - Country:US
Practice Address - Phone:414-367-6014
Practice Address - Fax:414-433-1852
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-07
Last Update Date:2018-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health