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Individual

DEBORAH A. MAYO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
A.P.N.P.

Contact information

Practice address
11414 W PARK PL, STE 202, MILWAUKEE, WI 53224-3500
(414) 292-7060
(414) 973-2090
Mailing address
3734 - 7TH AV #12, KENOSHA, WI 53140
(262) 654-9370
(262) 654-9379

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
1856
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
1856
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1856-033
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
43981100
WI
Enumeration date
05/31/2006
Last updated
11/10/2016
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