Individual
MICHAELA MACHURICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNPC-AG
Contact information
Practice address
5045 W GRANDE MARKET DR, APPLETON, WI 54913-8517
(920) 886-9380
Mailing address
301 W 17TH ST, KAUKAUNA, WI 54130-3105
(920) 809-8696
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13685-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100239012
—
WI
Enumeration date
04/06/2023
Last updated
12/21/2023
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