| Doctor Name: | RHONDA S NIEMI JUDGE |
| NPI Number: | 1588651244 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NPC |
| License Number: | 2797-033 |
| Business Practice Address: | 1370 N Shawano St Ste A New London, WI - 549617944 |
| Business Phone Number: | 9205311100 |
| Business Fax Number: | 9205318301 |
| Mailing Address: | 200 E Washington St, P.o. Box 8301 APPLETON |
| State: | WI |
| Postal Code: | 549115490 |
| Phone Number: | 9205311100 |
| Fax Number: | 9205318301 |
| NPI Enumeration Date: | 09/28/2005 |
| NPI Last Update Date: | 10/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 2797-033 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |