Macconnell, Maureen
Macconnell, Maureen is an individual health care provider with primary practice located at 1100 Lake View Dr , Wausau WI 54403-6785. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Macconnell, Maureen can be contacted via phone (715) 848-4600.Contact Information
Primary practice address
1100 Lake View Dr
Wausau WI 54403-6785
Phone: (715) 848-4600
Fax: (715) 845-5398
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Registered Nurse | 163W00000X | 200775-30 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 5890 | Wisconsin |
Profile Details
| NPI number | 1033524749 |
|---|---|
| LBN Legal business name | Macconnell, Maureen |
| Credentials | APNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2014 |
| Last updated | Dec 3rd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033524749 | NPPES |
| Wisconsin | MEDICAID | 1033524749 | |
| Wisconsin | Other | 5890-33 | |
| Wisconsin | Other | 200775-30 |
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