Individual
MIA MCDERMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-1454
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
10033
WI
363L00000X
Nurse Practitioner
Primary
209012104
IL
Other
Enumeration date
11/04/2014
Last updated
04/07/2026
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