Individual provider · Type 1 NPI
Males Mainviel, NURSE PRACTITIONER
Family Nurse Practitioner · Richland Center, WI
NPI number
1104651652
Active
Practice location
333 E 2nd St
Richland Center, WI 53581-1914
Mailing address
24959 Morris Valley Rd
Richland Center, WI 53581-6348
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 16165-33 (WI) |
Family Nurse Practitioner: Definition to come...
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About NPI 1104651652
Males Mainviel, NURSE PRACTITIONER's National Provider Identifier is 1104651652, issued on Sep 4, 2024. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Richland Center, WI. The record was last updated on Nov 12, 2024.