Individual
SUSAN VERONICA JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1407 SAINT ANDREW ST, STE 100, LA CROSSE, WI 54603-3301
(608) 989-2703
(608) 785-5331
Mailing address
W7082 HERAM RD, HOLMEN, WI 54636-9236
(608) 526-2714
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
139907-30
WI
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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