Maureen Macconnell
Nurse Practitioner - Psychiatric/Mental Health
1100 Lake View Dr
Wausau
, Wisconsin 54403-6785
Maureen Macconnell
Nurse Practitioner - Psychiatric/Mental Health
1100 Lake View Dr
Wausau
, Wisconsin 54403-6785
(715) 845-5398
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About
Features
Specialties
- Nurse Practitioner - Psychiatric/Mental Health
Languages spoken
- English
Location
First Address
- Maureen Macconnell
- 1100 Lake View Dr
- Wausau, WI
- Zip : 54403-6785
- Fax : (715) 845-5398
- Phone : (715) 848-4600
Second Address
- Maureen Macconnell
- 1100 Lake View Dr
- Wausau, WI
- Zip : 54403-6785
- Fax : (715) 845-5398
- Phone : (715) 848-4600
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Is Maureen Macconnell a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner - Psychiatric/Mental Health | 5890 | WI |
National Provider Identifier
| NPI | 1033524749 |
|---|---|
| Provider Name | Maureen Macconnell |
| First Address | Wausau, WI 54403-6785 |
| Second Address | Wausau, WI 54403-6785 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2014 |
| Last Update Date | 03/12/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1033524749 | (05) | WI |
| 200775-30 | STATE LICENSE (01) | CT |
| 5890-33 | STATE LICENSE (01) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.