Individual
STEPHANIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1407 SAINT ANDREW ST, LA CROSSE, WI 54603-3301
(608) 785-5876
Mailing address
W8130 FOREST DR, ONALASKA, WI 54650-9742
(608) 792-1794
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
133847-30
WI
Other
Enumeration date
11/23/2015
Last updated
11/23/2015
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