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Nicole Maki-rydland
Psychiatric/Mental Health Nurse Practitioner in Wauwatosa, Wisconsin
NPI 1386065589

Nicole Maki-rydland is a Psychiatric/Mental Health Nurse Practitioner based in Wauwatosa, WI and is specialized in Psychiatric/Mental Health. Nicole Maki-rydland practices in Wauwatosa, WI. The NPI Number for Nicole Maki-rydland is 1386065589 and holds a License No. 1862-226 (Wisconsin).

The current practice location address for Nicole Maki-rydland is 2600 N Mayfair Rd Ste 305, Wauwatosa, WI and can be reached out via phone at 414-257-0233.

Location: 2600 N Mayfair Rd Ste 305, Wauwatosa, WI, 53226-1303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386065589
Provider Name
Nicole Maki-rydland
Credential
Provider Entity Type
Individual
Gender
Female
Address
2600 N Mayfair Rd Ste 305, Wauwatosa, WI, 53226-1303
Phone Number
414-257-0233
Fax Number
Provider Enumeration Date
12/16/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2600 N Mayfair Rd Ste 305
City
Wauwatosa
State
Wisconsin
Zip
53226-1303
Phone Number
414-257-0233
Fax Number
person
Provider Business Mailing Address Details
Address
2600 N Mayfair Rd Ste 305
City
Wauwatosa
State
Wisconsin
Zip
53226-1303
Phone Number
414-257-0233
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
10562-33 (Wisconsin)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
1862-226 (Wisconsin)
Definition
Definition to come...
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