Individual
JOHN MAYO NAVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
N1896 COUNTY RD N, FORT ATKINSON, WI 53538-9077
(920) 563-7004
Mailing address
N1896 COUNTY RD N, FORT ATKINSON, WI 53538-9077
(920) 563-7004
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
78522-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39857500
—
WI
Enumeration date
01/09/2007
Last updated
07/09/2007
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