Mary Ann Reale, R.N.
Registered Nurse, General Practice in Madison, WI. Individual provider (NPI-1).
NPI number1184648024
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1184648024
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary Ann Reale
- Credential
- R.N.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 26, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | 64371-030 | WI | Yes |
Practice location
2500 Overlook TerMadison, WI 53705-2254
Phone 608-280-7061
Mailing address
2810 Van Hise AveMadison, WI 53705-3620
Phone 608-238-7397
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