DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MARY ALICE MUTH, APNP

Active

MARY ALICE MUTH, APNP is a Nurse Practitioner healthcare provider located in NEW BERLIN, Wisconsin. NPI 1669577482 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · NEW BERLIN, WI

Registration Details

NPI Number
1669577482
Provider Type
Individual
Gender
Female
NPI Issued
Sep 14, 2006 (19.873108823557 yrs)
Last Updated
Jan 7, 2014
Licenses
2862-033 (WI)
126341-30 (WI)

Practice Information

Address
13750 W NATIONAL AVE
PROHEALTH CARE MEDICAL ASSOCIATES INC.
NEW BERLIN, WI, 531514588
Browse WI providers · Browse ZIP 53151
Phone
2627891699
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Registered Nurse

Other Nurse Practitioner Providers in NEW BERLIN, WI

Name Credential NPI
MRS. AMANDA M KOTOWSKI NP 1093768871
THOMAS ALLAN FREICHELS APRN, BC 1457394991
MR. DENNIS J GARVIN APNP 1013022037
MS. JENNIFER J NICPON APNP 1295842649
MS. KIM MARIE WOLF NURSE PRACTITIONER 1366603581
STACEY M LAMPONE FNP-BC 1689824096
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.