Doud, Millicent Joanna

Doud, Millicent Joanna is an individual health care provider with primary practice located at Lake Geneva 146 E Geneva Square , Lake Geneva WI 53157. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Doud, Millicent Joanna can be contacted via phone (262) 422-8038.

Contact Information

Primary practice address
Lake Geneva 146 E Geneva Square Lake Geneva WI 53157
Phone: (262) 422-8038
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 8165 Wisconsin

Profile Details

NPI number 1285135467
LBN Legal business name Doud, Millicent Joanna
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2018
Last updated Feb 13th, 2024 - about 9 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285135467 NPPES
Wisconsin MEDICAID 100075486

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