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Individual

PAUL NYABERO OBINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
5833 AMERICAN PKWY, MADISON, WI 53718-8325
(608) 230-4632
Mailing address
202 SAINT ALBANS AVE, MADISON, WI 53714-2706
(612) 423-3606

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
252205
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14675-33
WI

Other

Enumeration date
10/04/2023
Last updated
11/01/2023
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