Doctor Name: | JUDITH A. AUFENTHIE |
NPI Number: | 1023306198 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, PHD |
License Number: | 155910 |
Business Practice Address: | 191 Theatre Rd Onalaska, WI - 546508679 |
Business Phone Number: | 6083925005 |
Business Fax Number: | |
Mailing Address: | 191 Theatre Rd, ONALASKA |
State: | WI |
Postal Code: | 546508679 |
Phone Number: | 6083925005 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2011 |
NPI Last Update Date: | 07/11/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SH1100X |
License Number: | 155910 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Holistic |
Taxonomy Definition: |