Individual
MS. AUDREY FAY JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
8901 W LINCOLN AVE, DIABETES ED, WEST ALLIS, WI 53227-2409
(414) 328-6193
(414) 328-6210
Mailing address
8901 W. LINCOLN AVE, DIABETES ED, WEST ALLIS, WI 53227
(414) 328-6193
(414) 328-6210
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
123120030
WI
Other
Enumeration date
07/14/2008
Last updated
06/16/2009
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