Individual
JANIS L KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Mailing address
515 22ND AVE, MONROE, WI 53566-1569
(608) 324-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2033
WI
363LP0200X
Pediatric Nurse Practitioner
2033
WI
363LP0200X
Pediatric Nurse Practitioner
209005345
IL
Other
Enumeration date
11/20/2006
Last updated
11/18/2022
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