Individual
RHONDA S NIEMI JUDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NPC
Contact information
Practice address
3710 57TH AVE, KENOSHA, WI 53144-4820
(262) 652-1474
Mailing address
3710 57TH AVE, KENOSHA, WI 53144-4820
(262) 652-1474
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2797-033
WI
363LF0000X
Family Nurse Practitioner
2797-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39-1805927
—
WI
Enumeration date
09/28/2005
Last updated
01/15/2023
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