Individual
MISS ARTEALIA V. MABON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1121 E NORTH AVE, COLUMBIA ST. MARY'S FAMILY MEDICINE, MILWAUKEE, WI 53212-3515
(414) 267-6500
(414) 267-3892
Mailing address
1121 E NORTH AVE, COLUMBIA ST. MARY'S FAMILY MEDICINE, MILWAUKEE, WI 53212-3515
(414) 267-6500
(414) 267-3892
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
172754-30
WI
363LF0000X
Family Nurse Practitioner
Primary
6559
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942508882
—
WI
Enumeration date
03/01/2011
Last updated
09/18/2015
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