Individual
TAURA MARAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
800 WILSON AVE, MENOMONIE, WI 54751-2734
(715) 232-2388
(715) 232-1132
Mailing address
2920 INGALLS RD, MENOMONIE, WI 54751-4321
(715) 232-9554
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1786-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1786-033
NURSE PRACTITIONER
WI
Enumeration date
02/06/2007
Last updated
10/22/2007
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