Basic Information
| Provider Information | |||||||||
| NPI: | 1356510598 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAVLAN | ||||||||
| FirstName: | LAREE | ||||||||
| MiddleName: | ANN | ||||||||
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| Credential: | C-FNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2873 E RHODE ISLAND AVE | ||||||||
| Address2: | |||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532073051 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5753135578 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 1834 W WISCONSIN AVE | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | MILWAUKEE | ||||||||
| State: | WI | ||||||||
| PostalCode: | 532332125 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4149339100 | ||||||||
| FaxNumber: | 4149339200 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/21/2008 | ||||||||
| LastUpdateDate: | 05/20/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 4388033 | WI | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 363LF0000X | CNP00700 | NM | N | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family | 163WP0808X | R33850 | NM | N | Nursing Service Providers | Registered Nurse | Psych/Mental Health | 163WP0808X | 175244030 | WI | N | Nursing Service Providers | Registered Nurse | Psych/Mental Health |
No ID Information.