Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Forward Healthy Lifestyles

Organization Nurse Practitioner · NPI 1053263764

Forward Healthy Lifestyles is a Nurse Practitioner in Pewaukee, Wisconsin. Works from 2 locations. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

145 W Wisconsin Ave Unit 3
Pewaukee, WI 53072-3437
Phone: (262) 313-8375
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3970 N Oakland Ave Ste 502, Shorewood, WI 53211-2265 — (262) 313-8375

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1053263764
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lindsay Carmody — Apnp · (262) 313-8375
NPI enumeratedFebruary 13, 2026
Last updated in NPPESFebruary 13, 2026
Certification dateFebruary 13, 2026
Mailing addressN112w15237 Mequon Rd Ste 100, Germantown, WI 53022-3466

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