Individual provider · Type 1 NPI
Basil U. Maduka, NP
Psychiatric/Mental Health Nurse Practitioner · Wauwatosa, WI
NPI number
1457785883
Active
Practice location
1220 Dewey Ave
Wauwatosa, WI 53213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 5300-33 (WI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 5300 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1457785883
Basil U. Maduka, NP's National Provider Identifier is 1457785883, issued on Aug 21, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wauwatosa, WI. The record was last updated on Nov 24, 2021.