Individual
JUDITH A MACKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9383 S SPRINGHILL LN, FRANKLIN, WI 53132-9141
(414) 423-0852
Mailing address
9383 S SPRINGHILL LN, FRANKLIN, WI 53132-9141
(414) 423-0852
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
153630-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153630-030
DEPT OF REGULATION & LICENSING
WI
05
—
38280000
—
WI
Enumeration date
05/12/2008
Last updated
05/12/2008
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