Individual
JANICE K BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
143 S GIBSON ST, MEDFORD, WI 54451-1622
(715) 748-2121
Mailing address
3000 WESTHILL DR, SUITE 303, WAUSAU, WI 54401-3795
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1321
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43920300
—
WI
Enumeration date
08/11/2006
Last updated
07/08/2007
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