Provider Demographics
NPI:1154729770
Name:POE, ALQUISE E (REGISTERED NURSE)
Entity type:Individual
Prefix:MRS
First Name:ALQUISE
Middle Name:E
Last Name:POE
Suffix:
Gender:F
Credentials:REGISTERED NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2429 N RICHARDS ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53212-2835
Mailing Address - Country:US
Mailing Address - Phone:414-795-1326
Mailing Address - Fax:
Practice Address - Street 1:2429 N RICHARDS ST
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53212-2835
Practice Address - Country:US
Practice Address - Phone:414-795-1326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-12
Last Update Date:2016-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI114680163WH0200X, 163WH0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0500XNursing Service ProvidersRegistered NurseHemodialysis
No163WH0200XNursing Service ProvidersRegistered NurseHome Health