BASIL MADUKA, NP

Nurse Practitioner - Psychiatric/Mental Health

Active Individual
NPI: 1457785883

Practice Address

1220 DEWEY AVE
Wauwatosa, WI 53213

Phone: (414) 454-6539

Specialties

Specialty Code Primary License
Nurse Practitioner 363L00000X No 5300-33 (WI)
Nurse Practitioner - Psychiatric/Mental Health 363LP0808X Yes 5300 (WI)

Frequently Asked Questions

NPI 1457785883 is the National Provider Identifier for BASIL MADUKA, NP, a Nurse Practitioner - Psychiatric/Mental Health provider located in Wauwatosa, WI. This NPI was enumerated on August 21, 2013.
BASIL MADUKA, NP practices at 1220 DEWEY AVE, Wauwatosa, WI 53213.

Quick Facts

NPI
1457785883
Type
Individual
Enumerated
Aug 21, 2013
Last Updated
Nov 24, 2021

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