Individual provider · Type 1 NPI
Maureen Macconnell, APNP
Psychiatric/Mental Health Nurse Practitioner · Wausau, WI
NPI number
1033524749
Active
Practice location
1100 Lake View Dr
Wausau, WI 54403-6785
Fax (715) 845-5398
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 200775-30 (CT) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 5890 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1033524749
Maureen Macconnell, APNP's National Provider Identifier is 1033524749, issued on Jun 23, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wausau, WI. The record was last updated on Dec 3, 2014.