Individual
MARY ELLEN YAHLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHCNS-BC
Contact information
Practice address
2524 E WEBSTER PL, SUITE 203, MILWAUKEE, WI 53211-4253
(414) 964-9200
(414) 964-4816
Mailing address
2524 E WEBSTER PL, SUITE 203, MILWAUKEE, WI 53211-4256
(414) 964-9200
(414) 964-4816
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
52259-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39405700
—
WI
Enumeration date
08/17/2006
Last updated
08/20/2014
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