Individual
WENDY G JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
710 RIVERSIDE DR, WAUPACA, WI 54981
(715) 256-3000
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3264
(920) 830-5970
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3408
WI
363LF0000X
Family Nurse Practitioner
Primary
3408
WI
Other
Enumeration date
05/12/2008
Last updated
05/14/2018
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