Individual
JUDY VANDERWALKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1031 COLONIAL ST, MARSHFIELD, WI 54449-1226
(715) 387-6955
Mailing address
1031 COLONIAL ST, MARSHFIELD, WI 54449-1226
(715) 387-6955
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
58928
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43855100
—
WI
Enumeration date
08/30/2006
Last updated
09/05/2007
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