Provider Demographics
NPI:1174248728
Name:POSTON, MYESHA N
Entity type:Individual
Prefix:
First Name:MYESHA
Middle Name:N
Last Name:POSTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1725 W CENTER ST
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53206-2107
Mailing Address - Country:US
Mailing Address - Phone:414-350-0551
Mailing Address - Fax:
Practice Address - Street 1:5215 N IRONWOOD RD STE 202X-1
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:WI
Practice Address - Zip Code:53217-4915
Practice Address - Country:US
Practice Address - Phone:414-786-2447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator