Individual
ALYSSA MADER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2500 E CAPITOL DR, APPLETON, WI 54911-8735
(920) 364-3600
(920) 364-3900
Mailing address
3 NEENAH CTR, NEENAH, WI 54956-3070
(920) 996-3264
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
228267
WI
363LF0000X
Family Nurse Practitioner
Primary
10202
WI
Other
Enumeration date
05/26/2020
Last updated
10/14/2020
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