Individual provider · Type 1 NPI
Daniel D. Medlock, APNP
Psychiatric/Mental Health Nurse Practitioner · Racine, WI
NPI number
1639439433
Active
Practice location
1320 Wisconsin Ave
Racine, WI 53403-1978
Fax (262) 687-2014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner | 363L00000X | 9750 (WI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 9750 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
49 other providers at this address
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- Callie Wessel, PharmDPharmacist Racine, WI NPI 1336862507
- Carissa Geurden, M.S.Student in an Organized Health Care Education/Training Program Racine, WI NPI 1487969226
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- Deborah Lynn Cohen-Smith, PhDClinical Psychologist Racine, WI NPI 1912968314
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About NPI 1639439433
Daniel D. Medlock, APNP's National Provider Identifier is 1639439433, issued on May 25, 2012. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Racine, WI. The record was last updated on Jan 24, 2022.