Individual
MARY KATHLEEN COLEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
2202 S PARK ST, MADISON, WI 53713-1916
(608) 443-5480
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.009432
IL
363LF0000X
Family Nurse Practitioner
Primary
8750-33
WI
363LF0000X
Family Nurse Practitioner
95002356
CA
363LF0000X
Family Nurse Practitioner
AP 60265341
WA
Other
Enumeration date
02/10/2012
Last updated
01/05/2021
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