Individual
SANDRA J JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
13380 W TREPANIA RD, HAYWARD, WI 54843-2186
(715) 638-5100
(715) 634-2740
Mailing address
13380 W TREPANIA RD, HAYWARD, WI 54843-2186
(715) 638-5100
(715) 634-2740
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
234311-30
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
13466
WI
Other
Enumeration date
11/06/2018
Last updated
10/08/2024
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