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Daniel D Medlock, APNP
Psychiatric/Mental Health Nurse Practitioner in Racine, Wisconsin
NPI 1639439433

Daniel D Medlock is a Psychiatric/Mental Health Nurse Practitioner based in Racine, WI and is specialized in Psychiatric/Mental Health. Daniel D Medlock practices in Racine, WI and has the professional credentials of APNP. The NPI Number for Daniel D Medlock is 1639439433 and holds a License No. 9750 (Wisconsin).

The current practice location address for Daniel D Medlock is 1320 Wisconsin Ave, Racine, WI and can be reached out via phone at 262-687-2956 and via fax at 262-687-2014.

Location: 1320 Wisconsin Ave, Racine, WI, 53403-1978
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1639439433
Provider Name
Daniel D Medlock
Credential
APNP
Provider Entity Type
Individual
Gender
Male
Address
1320 Wisconsin Ave, Racine, WI, 53403-1978
Phone Number
262-687-2956
Fax Number
262-687-2014
Provider Enumeration Date
05/25/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1320 Wisconsin Ave
City
Racine
State
Wisconsin
Zip
53403-1978
Phone Number
262-687-2956
Fax Number
262-687-2014
person
Provider Business Mailing Address Details
Address
1320 Wisconsin Ave
City
Racine
State
Wisconsin
Zip
53403-1978
Phone Number
262-687-2956
Fax Number
262-687-2014
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
9750 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
9750 (Wisconsin)
Definition
Definition to come...
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