Individual provider · Type 1 NPI
Joline Wudtke, PMHNP
Psychiatric/Mental Health Nurse Practitioner · Oconomowoc, WI
NPI number
1346736279
Active
Practice location
35000 Bartlett Rd
Oconomowoc, WI 53066-4825
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 178716 (WI) |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 8512 (WI) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 8512-33 (WI) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1346736279
Joline Wudtke, PMHNP's National Provider Identifier is 1346736279, issued on Jul 3, 2018. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Oconomowoc, WI. The record was last updated on Dec 11, 2024.