Vanderwalker, Judy

Vanderwalker, Judy is an individual health care provider with primary practice located at 1031 Colonial St , Marshfield WI 54449-1226. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Vanderwalker, Judy can be contacted via phone (715) 387-6955.

Contact Information

Primary practice address
1031 Colonial St Marshfield WI 54449-1226
Phone: (715) 387-6955
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 58928 Wisconsin

Profile Details

NPI number 1750491809
LBN Legal business name Vanderwalker, Judy
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Sep 5th, 2007 - about 18 years ago

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 1750491809 NPPES
Wisconsin MEDICAID 43855100

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