Individual
NARDALYN JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9200 W WISCONSIN AVE, C5220, CLCC, MILWAUKEE, WI 53226-3522
(414) 805-0757
(414) 805-9059
Mailing address
9200 W WISCONSIN AVE, C5220, CLCC, MILWAUKEE, WI 53226-3522
(414) 805-0757
(414) 805-9059
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
155102-030
WI
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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