Provider Demographics
NPI:1871844639
Name:PALAY, NANETTE (APNP)
Entity type:Individual
Prefix:
First Name:NANETTE
Middle Name:
Last Name:PALAY
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8989 N PORT WASHINGTON RD STE 211
Mailing Address - Street 2:
Mailing Address - City:BAYSIDE
Mailing Address - State:WI
Mailing Address - Zip Code:53217-1633
Mailing Address - Country:US
Mailing Address - Phone:414-216-3535
Mailing Address - Fax:414-206-1231
Practice Address - Street 1:8989 N PORT WASHINGTON RD STE 211
Practice Address - Street 2:
Practice Address - City:BAYSIDE
Practice Address - State:WI
Practice Address - Zip Code:53217-1633
Practice Address - Country:US
Practice Address - Phone:414-216-3535
Practice Address - Fax:414-206-1231
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-19
Last Update Date:2025-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4996-33363LP0200X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics