Individual
JODI O SPAHR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
4855 S MOORLAND RD STE 250, NEW BERLIN, WI 53151-7494
(262) 789-6020
Mailing address
3610 MICHELLE WITMER MEMORIAL DR #100, SOUTHWEST PEDIATRICS, NEW BERLIN, WI 53151
(262) 789-6020
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
4166-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
298482100
—
MN
Enumeration date
08/30/2006
Last updated
07/21/2022
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