Individual
ADREA MALY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 251-6100
(608) 258-6259
Mailing address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
161747-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528499506
—
WI
Enumeration date
12/02/2013
Last updated
04/08/2025
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