Mcnicholas, Mary M

Mcnicholas, Mary M is an individual health care provider with primary practice located at 10 Tower Dr , Sun Prairie WI 53590-1239. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Mcnicholas, Mary M can be contacted via phone (608) 825-3008.

Contact Information

Primary practice address
10 Tower Dr Sun Prairie WI 53590-1239
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 129427 Wisconsin

Profile Details

NPI number 1427025113
LBN Legal business name Mcnicholas, Mary M
Credentials CNM MSN
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jun 8th, 2011 - about 13 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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