Individual
TRACEY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
E4507 COUNTY ROAD C, DOWNSVILLE, WI 54735-5475
(715) 279-7757
(715) 664-8196
Mailing address
E4340 130TH AVE, MENOMONIE, WI 54751-6728
(715) 279-7757
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
163696-30
WI
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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