Provider Demographics
NPI:1821393596
Name:MORE O'FERRALL, ARLEEN L (APNP)
Entity Type:Individual
Prefix:MRS
First Name:ARLEEN
Middle Name:L
Last Name:MORE O'FERRALL
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 W DEAN RD
Mailing Address - Street 2:
Mailing Address - City:RIVER HILLS
Mailing Address - State:WI
Mailing Address - Zip Code:53217-2536
Mailing Address - Country:US
Mailing Address - Phone:414-793-9487
Mailing Address - Fax:
Practice Address - Street 1:101 E PIER ST STE 23
Practice Address - Street 2:
Practice Address - City:PORT WASHINGTON
Practice Address - State:WI
Practice Address - Zip Code:53074-1943
Practice Address - Country:US
Practice Address - Phone:414-375-5005
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-11
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3095-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily