SearchWisconsin101YP2500X

Erica Ivins

NPI 1053150052 · on the registry since 2024 · sole proprietor

Practice

Address
1100 S 5th St # 214
Milwaukee, WI 53204
Phone
(414) 768-3588

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Also registered as
101YP2500X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-12-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin