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Contact Information

MILLICENT J DOUD, NURSE PRACTITIONER
LAKE GENEVA 146 E GENEVA SQUARE
LAKE GENEVA, WI53157
 Phone: 262-422-8038
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MILLICENT J DOUD · (Female)

NPI Number 1285135467
Status Active
Credentials NURSE PRACTITIONER
Entity Individual
Enumeration date 02/23/2018
Last updated 02/13/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 8165
  • WI Medicaid 100075486
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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