Epiphany A Gold, LPN
Individual provider Active NPI Licensed Practical Nurse · West Milwaukee, WI
NPI 1760352009 · NPPES record last updated Nov 11, 2025
Key facts
- NPI
- 1760352009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 332855-31 (WI)
- Practice address
- 1610 Miller Park Way Ste 1600
West Milwaukee, WI 53214-3604 - Phone
- (414) 672-3801
- Fax
- (414) 672-6026
- NPI assigned
- Nov 11, 2025
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 332855-31 | WI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 332855-31 | WI | Yes |
Addresses
Primary practice location
1610 Miller Park Way Ste 1600
West Milwaukee, WI 53214-3604
Mailing address
1610 Miller Park Way Ste 1600
West Milwaukee, WI 53214-3604
Phone (414) 672-3801
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All providers in West Milwaukee, WI · Licensed Practical Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.