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NPI Code Detail

MEDICARE: SYLVESTER NDIFOR APNP

MEDICARE: SYLVESTER NDIFOR APNP
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 Practitioner16186-33WI
2363LP0808XPsychiatric/Mental Health Nurse Practitioner16186-33WI

General Provider Information

NPI Number : 1467277376
Entity Type Code : Individual
Provider Name (Legal Business Name) : SYLVESTER NDIFOR APNP
Provider Business Mailing Address
First Line : 2500 W LAYTON AVE STE 110
Second Line :
City : MILWAUKEE
State : WI
Zip : 53221-5400
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5401 QUARRY PARK RD
Second Line :
City : MADISON
State : WI
Zip : 53718-7901
Country : US
Telephone Number : 844-767-3769
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2024
Last Update Date : 06/09/2026

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