Individual
MIRANDA L DOOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
2001 S CENTRAL AVE STE A, MARSHFIELD, WI 54449-4973
(715) 384-2818
Mailing address
20315 SUTTER CREEK DR APT 419, BROOKFIELD, WI 53045-3957
(414) 581-4667
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
15404-33
WI
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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