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Individual
JOHANNA L NEUCKS
Active
Individual
JOHANNA L NEUCKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN-CNS
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704217121
MI
364SP0808X
Psychiatric/Mental Health Clinical Nurse Specialist
Primary
APN.0992574-CNS
CO
Other
Enumeration date
02/08/2007
Last updated
10/19/2016
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