Individual
MRS. DENISE M JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8576 W GRANTOSA DR, MILWAUKEE, WI 53225-4964
(414) 462-9075
Mailing address
8576 W GRANTOSA DR, MILWAUKEE, WI 53225-4964
(414) 462-9075
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
82597-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39842300
—
WI
Enumeration date
03/05/2007
Last updated
07/09/2007
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