Provider Demographics
NPI:1255739363
Name:PARISE, ABBEY KRISTEN (RN)
Entity type:Individual
Prefix:
First Name:ABBEY
Middle Name:KRISTEN
Last Name:PARISE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 S 94TH ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53228-1403
Mailing Address - Country:US
Mailing Address - Phone:262-364-6715
Mailing Address - Fax:
Practice Address - Street 1:3601 S 94TH ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53228-1403
Practice Address - Country:US
Practice Address - Phone:262-364-6715
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-05
Last Update Date:2014-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI219500163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse