is a Nurse Practitioner in Madison, Wisconsin. practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for is 1801053863. The last update date is .
's current location address is 1289 Deming Way, Madison, Wisconsin. You can contact this provider via phone number 6087298778 and fax number 6087294270. The mailing address for is 1289 Deming Way, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | |
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Address | 1289 Deming Way, Madison, Wisconsin |
Phone Number | 6087298778 |
Fax Number | 6087294270 |
Sole Proprietor | -- |
Credentials | -- |
NPI Number Detail
NPI Number | 1801053863 |
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Provider Enumeration Date | |
Last Updated Date |
Provider Mailing Address Detail
Address | 1289 Deming Way |
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City | Madison |
State | Wisconsin (WI) |
Post Code | 537173022 |
Phone Number | 6087298778 |
Fax Number | 6087294270 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Practitioner |
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Taxonomy | 363L00000X |
Licence No | 2346-33 |
Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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