Individual provider · Type 1 NPI
Madison Austad
General Practice Registered Nurse · New Berlin, WI
NPI number
1114597374
Active
Practice location
1825 S Twin Willows Dr
New Berlin, WI 53146-1258
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 257786 (WI) |
General Practice Registered Nurse: Definition to come...
About NPI 1114597374
Madison Austad's National Provider Identifier is 1114597374, issued on Jun 30, 2021. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in New Berlin, WI. The record was last updated on Jun 30, 2021.