Organization
IMPACTHEALTH, LLC
Active
Other names
Yvette Johnson
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YVETTE JOHNSON APRN (PRESIDENT)
(414) 771-0543
Entity
Organization
Contact information
Practice address
3219 N 51ST BLVD, MILWAUKEE, WI 53216-3235
(414) 771-0543
(262) 649-4375
Mailing address
3219 N 51ST BLVD, MILWAUKEE, WI 53216-3235
(414) 771-0543
(262) 649-4375
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
10158-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073805255
—
WI
Enumeration date
06/13/2013
Last updated
01/14/2021
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