Individual
JUDITH L PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1113 W GLENDALE AVE, APPLETON, WI 54914-2345
(920) 850-8826
Mailing address
1113 W GLENDALE AVE, APPLETON, WI 54914-2345
(920) 850-8826
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
120661-30
WI
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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