IndividualActive
Antonio Soto
NPI 1497400170 · Primary Care Nurse Practitioner · Wauwatosa, WI
Provider details
- NPI number
- 1497400170
- Entity type
- Individual
- Primary specialty
- Primary Care Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 11761-33 (WI)
Mailing address
1155 N. Mayfair Rd.
Wauwatosa, WI 53226
Registry dates
- Enumerated
- 2022-02-21
- Last updated
- 2022-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.