Mara, Trudy A

Mara, Trudy A is an individual health care provider with primary practice located at 1700 Tuttle St , Baraboo WI 53913-3319. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mara, Trudy A can be contacted via phone (608) 356-2145.

Contact Information

Primary practice address
1700 Tuttle St Baraboo WI 53913-3319
Phone: (608) 356-2145
Fax: (608) 356-2147
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 994 Wisconsin

Profile Details

NPI number 1558326967
LBN Legal business name Mara, Trudy A
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Dec 10th, 2020 - about 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558326967 NPPES
Wisconsin MEDICAID 1558326967

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