Mahaga, Stella M

Mahaga, Stella M is an sole proprietor health care provider with primary practice located at 5330 W Villard Ave , Milwaukee WI 53218-4345. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Mahaga, Stella M can be contacted via phone (262) 292-4777.

Contact Information

Primary practice address
5330 W Villard Ave Milwaukee WI 53218-4345
Phone: (262) 292-4777
Fax: (262) 518-7052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 7261-33 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 7261-33 Wisconsin

Profile Details

NPI number 1255598140
LBN Legal business name Mahaga, Stella M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2008
Last updated Apr 22nd, 2021 - about 3 years 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 1255598140 NPPES
Wisconsin MEDICAID 1255598140

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