Individual
JUDY ANNE WALCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1020 N 12TH ST, MILWAUKEE, WI 53233-1308
(414) 266-6229
(414) 266-7638
Mailing address
9000 W WISCONSIN AVE # MS 958, MILWAUKEE, WI 53226-4874
(414) 266-7615
(414) 266-6238
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1047-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43839200
—
WI
Enumeration date
10/17/2006
Last updated
02/15/2019
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