Yellick, Mary K.

Yellick, Mary K. is an individual health care provider with primary practice located at 285 Forest Grove Dr Ste 124, Pewaukee WI 53072-3716. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Yellick, Mary K. can be contacted via phone (262) 329-8100.

Contact Information

Primary practice address
285 Forest Grove Dr Ste 124 Pewaukee WI 53072-3716
Phone: (262) 329-8100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1417 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 1417 Wisconsin

Profile Details

NPI number 1508812918
LBN Legal business name Yellick, Mary K.
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Jun 7th, 2023 - about 3 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 1508812918 NPPES
Wisconsin MEDICAID 1508812918
Wisconsin MEDICAID 36009400

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