Individual provider · Type 1 NPI

Antonio Soto

Primary Care Nurse Practitioner · Wauwatosa, WI

NPI number 1497400170 Active

Practice location

1155 N Mayfair Rd
Wauwatosa, WI 53226-3462

Mailing address

1155 N. Mayfair Rd.
Wauwatosa, WI 53226

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X11761-33 (WI)
Primary Care Nurse Practitioner Primary 363LP2300X11761-33 (WI)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1497400170

Antonio Soto's National Provider Identifier is 1497400170, issued on Feb 21, 2022. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Wauwatosa, WI. The record was last updated on Feb 21, 2022.