Healthcare Provider Details

I. General information

NPI: 1295247237
Provider Name (Legal Business Name): JUDY A CONTI APNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/31/2017
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 W CAPITOL DR
GLENDALE WI
53212-1185
US

IV. Provider business mailing address

711 W CAPITOL DR
MILWAUKEE WI
53206-3336
US

V. Phone/Fax

Practice location:
  • Phone: 414-727-6320
  • Fax: 414-727-6328
Mailing address:
  • Phone: 414-727-6320
  • Fax: 414-727-6328

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number8110
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number69865
License Number StateWI
# 3
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number8110
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: