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

Michelle Rose Mara

Individual provider Family Nurse Practitioner · NPI 1184403305

Michelle Rose Mara is a Family Nurse Practitioner in Milwaukee, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.

Licensed in
WI
In the registry since
2023

Practice location Address checks out

11400 W Lake Park Dr
Milwaukee, WI 53224-3035
Phone: (414) 365-8300
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 14430-33 (WI)

Record details

NPI number1184403305
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 26, 2023
Last updated in NPPESAugust 15, 2024
Certification dateAugust 7, 2024

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