DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: AVERY MADISON HARTER NP

MEDICARE: AVERY MADISON HARTER NP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner14669-33WI

General Provider Information

NPI Number : 1417630211
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVERY MADISON HARTER NP
Provider Business Mailing Address
First Line : 3329 N RICHMOND ST
Second Line :
City : APPLETON
State : WI
Zip : 54911-1063
Country : US
Telephone Number : 920-380-2715
Fax Number :
Provider Business Practice Location Address
First Line : 3329 N RICHMOND ST
Second Line :
City : APPLETON
State : WI
Zip : 54911-1063
Country : US
Telephone Number : 920-380-2715
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2023
Last Update Date : 06/17/2026

Similar Medicare Providers

1245224245 — NORMAN J SCHROEDER II MD
Practice Location Address:
3329 N RICHMOND ST
APPLETON, WI
54911-1063
Practice Phone: 920-380-2715
Practice Fax:
1386638393 — MARIA EDITHA M BAUTISTA-SANTOS MD
Practice Location Address:
3329 N RICHMOND ST
APPLETON, WI
54911-1063
Practice Phone: 920-380-2715
Practice Fax:
1609860691 — THOMAS C SCHELBLE MD
Practice Location Address:
3329 N RICHMOND ST
APPLETON, WI
54911-1063
Practice Phone: 920-380-2715
Practice Fax:
1659365567 — WILLIAM J CARLSON MD
Practice Location Address:
3329 N RICHMOND ST
APPLETON, WI
54911-1063
Practice Phone: 920-380-2715
Practice Fax:
1669466231 — RICHARD A JOHNSON MD
Practice Location Address:
3329 N RICHMOND ST
APPLETON, WI
54911-1063
Practice Phone: 920-380-2715
Practice Fax:
1477547040 — MICHAEL A KRUEGER MD
Practice Location Address:
3329 N RICHMOND ST
APPLETON, WI
54911-1063
Practice Phone: 920-380-2715
Practice Fax:

Directions to “ AVERY MADISON HARTER NP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.