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Individual

MARY AYE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
175077-30
WI
363LA2200X
Adult Health Nurse Practitioner
2014004353
WI
363LG0600X
Gerontology Nurse Practitioner
2014004353
WI
363LP2300X
Primary Care Nurse Practitioner
Primary
2014004353
WI

Other

Enumeration date
05/02/2016
Last updated
05/02/2016
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If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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