Individual provider · Type 1 NPI

Mary R. Kidd, APNP

Family Nurse Practitioner · Escanaba, MI

NPI number 1114481942 Active

Practice location

610 S Lincoln Rd
Escanaba, MI 49829-1215

Fax (906) 786-6409

Mailing address

PO Box 22487
Green Bay, WI 54305-2487

Other practice locations

  • 441 French St, Peshtigo, WI 54157-1203 · (715) 582-9949
  • 831 Parker Ave, Algoma, WI 54201-1808 · (920) 487-3676
  • 1100 10th St, Menominee, MI 49858-3062 · (906) 863-7987

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X4704305878 (MI)
Registered Nurse 163W00000X246069-30 (WI)
Family Nurse Practitioner 363LF0000X4704305878 (MI)
Family Nurse Practitioner Primary 363LF0000X9045-33 (WI)

Family Nurse Practitioner: Definition to come...

25 other providers at this address

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About NPI 1114481942

Mary R. Kidd, APNP's National Provider Identifier is 1114481942, issued on Jan 25, 2019. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Escanaba, MI. The record was last updated on Nov 9, 2020.