Individual
MARIA JOSEPH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2925 WIMBLEDON WAY, MADISON, WI 53713-3427
(608) 469-4533
Mailing address
2925 WIMBLEDON WAY, MADISON, WI 53713-3427
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
304524
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MAP#35021700
—
WI
Enumeration date
01/25/2016
Last updated
01/25/2016
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