Mary Nold-Klett in Wauwatosa - Physician Assistant
Mary Nold-Klett - NPI 1740382225
Mary Nold-Klett is a Physician Assistant in Wauwatosa, Wisconsin. Mary Nold-Klett practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mary Nold-Klett is 1740382225. The last update date is 2018-03-17.
Mary Nold-Klett's current location address is 1220 Dewey Ave, Wauwatosa, Wisconsin. You can contact this provider via phone number 4144546600. The mailing address for Mary Nold-Klett is 1220 Dewey Ave, Wauwatosa, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Nold-Klett |
|---|---|
| Address | 1220 Dewey Ave, Wauwatosa, Wisconsin |
| Phone Number | 4144546600 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1740382225 |
|---|---|
| Provider Enumeration Date | 2006-09-03 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 1220 Dewey Ave |
|---|---|
| City | Wauwatosa |
| State | Wisconsin (WI) |
| Post Code | 532132504 |
| Phone Number | 4144546600 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 193-023 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42901700-PA-88/ | WI | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Mary Nold-Klett?
The Mary Nold-Klett has been issued the NPI (National Provider Identifier) 1740382225 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Mary Nold-Klett?
The Mary Nold-Klett is situated at 1220 Dewey Ave, in the city of Wauwatosa, state of WI, with the zip code 532132504.
When did Mary Nold-Klett receive its 1740382225 assignment?
The Mary Nold-Klett was assigned its 1740382225 on 2006-09-03, which is the date when this unique identifier was issued to the organization.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1740382225 to Mary Nold-Klett?
The Centers for Medicare & Medicaid Services originally issued the 1740382225 to Mary Nold-Klett on 2006-09-03.
When was the information regarding Mary Nold-Klett, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Mary Nold-Klett, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2018-03-17.