Individual
JUDITH ELLEN ANDERSON MAYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2131 RIDGE DR, LAKE GENEVA, WI 53147-3627
(262) 249-0349
Mailing address
W5423 SCHMIDT RD, ELKHORN, WI 53121-3911
(262) 723-3011
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
128473-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38210800
—
WI
Enumeration date
08/28/2007
Last updated
08/28/2007
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