Vidallah Mulley Nordquist, DNP

NPI #1851175699 in Weston, Wisconsin

Provider Information

NPI Number: 1851175699
Entity Type: Individual
Name: Vidallah Mulley Nordquist, DNP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nurse Practitioner
Credential: DNP
Enumeration Date: Aug 22, 2023
Last Updated: Feb 19, 2024

Practice Location

Address: 3400 MINISTRY PKWY
City: Weston
State: Wisconsin
ZIP Code: 54476-5220
Phone: (715) 393-1220

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse Practitioner - Gerontology — Gerontology	363LG0600X
Nurse Practitioner	363L00000X	Primary
Registered Nurse	163W00000X

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