Individual provider · Type 1 NPI

Vidallah Mulley Nordquist, DNP

Nurse Practitioner · Weston, WI

NPI number 1851175699 Active

Practice location

3400 Ministry Pkwy
Weston, WI 54476-5220

Mailing address

1000 N Oak Ave
Marshfield, WI 54449-5703

Other practice locations

  • 4902 148th St SW, Edmonds, WA 98026-4018 · (415) 223-9964

Specialties and licenses

TaxonomyCodeLicense
Gerontology Nurse Practitioner 363LG0600X14480-33 (WI)
Gerontology Nurse Practitioner 363LG0600X230193-30 (WI)
Nurse Practitioner Primary 363L00000X14480 (WI)
Registered Nurse 163W00000X230193 (WI)
Nurse Practitioner 363L00000X230193-30 (WI)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1851175699

Vidallah Mulley Nordquist, DNP's National Provider Identifier is 1851175699, issued on Aug 22, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Weston, WI. The record was last updated on Feb 19, 2024.