Individual
MS. MARY ANN REALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 280-7061
Mailing address
2810 VAN HISE AVE, MADISON, WI 53705-3620
(608) 238-7397
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
64371-030
WI
Other
Enumeration date
07/26/2006
Last updated
07/08/2007
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