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Individual

DANIELLE ANNETTE JACHTHUBER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 361-1313
Mailing address
225 MEMORIAL DR, BERLIN, WI 54923-1243
(920) 295-2011

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13218
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
193059-30
RN LICENSE NUMBER
WI
Enumeration date
06/20/2022
Last updated
06/13/2024
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