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Contact Information

MARY T LEVEILLE, APNP
1100 ORCHARD ST
SEYMOUR, WI54165
 Phone: 920-833-5100
 Fax: 920-833-5130
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MARY T LEVEILLE · (Female)

NPI # 1871517565
Status Active
Credentials APNP
Entity Individual
Enumeration date 07/26/2006
Last updated 11/10/2011 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1456
  • WI License # 69002
  • WI Medicaid 43909800
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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