Individual
EMILY J CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP
Contact information
Practice address
215 WASHINGTON ST, GRAFTON, WI 53024-1700
(262) 375-3700
Mailing address
215 WASHINGTON ST, GRAFTON, WI 53024-1700
(262) 375-3700
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
13607-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100239464
—
WI
Enumeration date
02/16/2023
Last updated
08/16/2023
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