Provider Demographics
NPI:1902698459
Name:SPAHIU, FADIL (NP)
Entity type:Individual
Prefix:MR
First Name:FADIL
Middle Name:
Last Name:SPAHIU
Suffix:
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3392 S HOWELL AVE APT 4
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53207-2773
Mailing Address - Country:US
Mailing Address - Phone:414-265-6370
Mailing Address - Fax:
Practice Address - Street 1:3392 S HOWELL AVE APT 4
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53207-2773
Practice Address - Country:US
Practice Address - Phone:414-265-6370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI16750-33363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily