ANTONIO SOTO NPI 1497400170

NPI Information

NPI: 1497400170
Provider Name: ANTONIO SOTO
Classification: Nurse Practitioner - 363LP2300X
Entity Type: Individual

Specialization: Primary Care

Address:
1155 N MAYFAIR RD
WAUWATOSA, WI
ZIP 53226
Phone: (414) 955-5990
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Antonio Soto is a primary care nurse practitioner in Wauwatosa, WI. Antonio Soto NPI is 1497400170. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1155 N MAYFAIR RD
WAUWATOSA, WI
ZIP 53226-462
Phone: (414) 955-5990

The enumeration date for this NPI number is 2/21/2022 and was last updated on 2/21/2022.

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
1	363L00000X	Nurse Practitioner		11761-33	WISCONSIN	No
2	363LP2300X	Nurse Practitioner	Primary Care	11761-33	WISCONSIN	Yes

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: 11/14/2023

NPI Synchronization or Removal

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