# IMPACTHEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Yvette Johnson
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104264001
- **Authorized official:** MRS. YVETTE JOHNSON APRN (PRESIDENT)
- **Authorized official phone:** (414) 771-0543

## Contact information

- **Practice address:** 3219 N 51ST BLVD, MILWAUKEE, WI 53216-3235
- **Practice address phone:** (414) 771-0543
- **Practice address fax:** (262) 649-4375
- **Mailing address:** 3219 N 51ST BLVD, MILWAUKEE, WI 53216-3235
- **Mailing address phone:** (414) 771-0543
- **Mailing address fax:** (262) 649-4375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WC1500X | Community Health Registered Nurse | 10158-30 | WI | Yes |

## Other

- **Enumeration date:** 06/13/2013
- **Last updated:** 01/14/2021