Healthcare Provider Details

I. General information

NPI: 1558185793
Provider Name (Legal Business Name): CHRISTOPHER WOJNAR MSN, APNP, PMHNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/13/2024
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6808 UNIVERSITY AVE STE 108
MIDDLETON WI
53562-2779
US

IV. Provider business mailing address

6808 UNIVERSITY AVE STE 108
MIDDLETON WI
53562-2779
US

V. Phone/Fax

Practice location:
  • Phone: 414-367-6301
  • Fax: 414-296-7311
Mailing address:
  • Phone: 414-367-6301
  • Fax: 414-296-7311

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number16182-33
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: