Individual
MARY YANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, RN, FNP-BC
Contact information
Practice address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7666
(262) 970-6696
Mailing address
514 RIVERVIEW AVE, WAUKESHA, WI 53188-3631
(262) 548-7666
(262) 970-6696
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
7797-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
7797-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1669995411
—
WI
Enumeration date
07/24/2017
Last updated
04/10/2026
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