Individual
KELLY N. SCHUBERTFAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 MENDOTA ST STE 120, MADISON, WI 53714-1060
(608) 280-2762
Mailing address
1320 MENDOTA ST STE 120, MADISON, WI 53714-1060
(608) 280-2762
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
156017-30
WI
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
156017-30
WI
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
156017-30
WI
Other
Enumeration date
08/08/2012
Last updated
04/21/2023
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