Healthcare Provider Details

I. General information

NPI: 1548589328
Provider Name (Legal Business Name): ABBEY J MARAKA DNP, PMHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABBEY J VIEBAHN

II. Dates (important events)

Enumeration Date: 05/19/2010
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7237 BAY RD
RHINELANDER WI
54501-9467
US

IV. Provider business mailing address

7237 BAY RD
RHINELANDER WI
54501-9467
US

V. Phone/Fax

Practice location:
  • Phone: 920-200-8500
  • Fax: 949-883-4408
Mailing address:
  • Phone: 920-200-8500
  • Fax: 949-883-4408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number148841
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1606674
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number4081-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: