Individual
JUDITH L MCALLISTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
190 GRAND SEASONS DR, WAUPACA, WI 54981-8219
(715) 258-3650
Mailing address
900 ILLINOIS AVE, STEVENS POINT, WI 54481-3114
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
2784
WI
363LF0000X
Family Nurse Practitioner
Primary
2784
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36000200
—
WI
Enumeration date
01/25/2007
Last updated
03/25/2019
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