Crouse, Joanna Kelley

Crouse, Joanna Kelley is an individual health care provider with primary practice located at 150 S Sunny Slope Rd Ste 136 , Brookfield WI 53005-4858. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Crouse, Joanna Kelley can be contacted via phone (262) 786-4550.

Contact Information

Primary practice address
150 S Sunny Slope Rd Ste 136 Brookfield WI 53005-4858
Phone: (262) 786-4550
Fax: (262) 786-4552
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4061-23 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 4061-23 Wisconsin

Profile Details

NPI number 1043732043
LBN Legal business name Crouse, Joanna Kelley
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2017
Last updated Sep 18th, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1043732043 NPPES
Wisconsin MEDICAID 1043732043

Popular Providers