Individual
JUSTYNA PRZYCHOCKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1704 W FIESTA LN, MEQUON, WI 53092-5732
(773) 595-1224
Mailing address
1704 W FIESTA LN, MEQUON, WI 53092-5732
(773) 595-1224
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
253604-30
WI
363LA2200X
Adult Health Nurse Practitioner
Primary
16472-33
WI
363LG0600X
Gerontology Nurse Practitioner
16472-33
WI
363LP2300X
Primary Care Nurse Practitioner
16472-33
WI
Other
Enumeration date
02/11/2025
Last updated
02/11/2025
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