Individual
MAKAYLA LISA MEYER-MOSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
143 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 965-1879
Mailing address
W1042 BRAGG LN, MEDFORD, WI 54451-9118
(715) 965-1879
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1347833
WI
Other
Enumeration date
11/16/2022
Last updated
01/16/2023
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