Aboubakare, Carissa

Aboubakare, Carissa is an individual health care provider with primary practice located at 4805 S Moorland Rd , New Berlin WI 53151-7401. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Aboubakare, Carissa can be contacted via phone (262) 798-7200.

Contact Information

Primary practice address
4805 S Moorland Rd New Berlin WI 53151-7401
Phone: (262) 798-7200
Fax: (414) 805-6622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 209014953 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 7588 Wisconsin

Profile Details

NPI number 1497206916
LBN Legal business name Aboubakare, Carissa
Credentials WHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2016
Last updated Dec 28th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497206916 NPPES
Wisconsin MEDICAID 1497206916

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