Individual
JUDY PHIMMASENE MCCARTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1125 W WINNEBAGO ST, APPLETON, WI 54914-3606
(920) 202-0821
Mailing address
1125 W WINNEBAGO ST, APPLETON, WI 54914-3606
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1104082-30
WI
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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