Individual provider · Type 1 NPI

Mae R. McEwan, NP

Nurse Practitioner · Mequon, WI

NPI number 1093071649 Active

Practice location

12203 Corporate Pkwy
Mequon, WI 53092-3388

Mailing address

PO Box 735044
Chicago, IL 60673-5044

Other practice locations

  • 975 Port Washington Rd, Grafton, WI 53024-9201 · (262) 387-8202

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X4821 (WI)
Nurse Practitioner Primary 363L00000X4821 (WI)

Nurse Practitioner: (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 certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1093071649

Mae R. McEwan, NP's National Provider Identifier is 1093071649, issued on Apr 9, 2012. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Mequon, WI. The record was last updated on May 28, 2025.