Individual
AVERY MADISON HARTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5471 W WATERFORD LN, APPLETON, WI 54913-8510
(920) 731-7445
Mailing address
5471 W WATERFORD LN, APPLETON, WI 54913-8510
(920) 731-7445
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
14669-33
WI
Other
Enumeration date
08/08/2023
Last updated
10/22/2023
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