Individual
PAYTON M MOHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 260-2900
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 260-2900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
226494-30
WI
363L00000X
Nurse Practitioner
Primary
9426
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1295390805
—
WI
Enumeration date
05/08/2019
Last updated
10/20/2023
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