Individual
TAYLOR JEAN EWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
143 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-2121
Mailing address
135 S GIBSON ST, MEDFORD, WI 54451-1622
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
13425-33
WI
Other
Enumeration date
11/17/2022
Last updated
01/03/2023
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