Individual
DR. JODY ERICA KROENING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN/DNP PMHNP-BC
Contact information
Practice address
23062 WHITEHALL RD, INDEPENDENCE, WI 54747-9065
(715) 985-3452
(715) 598-6093
Mailing address
23062 WHITEHALL RD, INDEPENDENCE, WI 54747-9065
(715) 985-3452
(715) 598-6093
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
166522
WI
163W00000X
Registered Nurse
R-188871-3
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
7026-33
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
CNP 4563
MN
Other
Enumeration date
04/21/2009
Last updated
06/25/2016
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