MAUREEN MACCONNELL APNP NPI 1033524749

NPI Information

  • NPI: 1033524749
  • Provider Name: MAUREEN MACCONNELL, APNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • Address: 1100 LAKE VIEW DR
    WAUSAU, WI
    ZIP 54403
  • Phone: (715) 848-4600

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NPI Details

Maureen Macconnell, APNP is a psychiatric/mental health nurse practitioner in Wausau, WI. Maureen Macconnell, APNP NPI is 1033524749. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1100 LAKE VIEW DR
WAUSAU, WI
ZIP 54403-785
Phone: (715) 848-4600
Fax: (715) 845-5398

The enumeration date for this NPI number is 6/23/2014 and was last updated on 12/3/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse200775-30CONNECTICUTNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health5890WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1200775-30OTHERCONNECTICUTSTATE LICENSE
21033524749MEDICAIDWISCONSIN
35890-33OTHERWISCONSINSTATE LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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