Dedrick, Joyce M

Dedrick, Joyce M is an individual health care provider with primary practice located at 650 Mcmillen St , Fort Atkinson WI 53538-1275. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Dedrick, Joyce M can be contacted via phone (920) 563-8900.

Contact Information

Primary practice address
650 Mcmillen St Fort Atkinson WI 53538-1275
Phone: (920) 563-8900
Fax: (920) 563-0318
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 93496-030 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 186-033 Wisconsin

Profile Details

NPI number 1972520625
LBN Legal business name Dedrick, Joyce M
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Mar 7th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972520625 NPPES
Wisconsin MEDICAID 43836600

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