Individual
JOHANNA HALSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 KESSEL CT, MADISON, WI 53711-6200
(608) 280-2534
Mailing address
49 KESSEL CT, MADISON, WI 53711-6200
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
233204
WI
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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