Andrea Jane Neault, PA
Physician Assistant in Winneconne, WI. Individual provider (NPI-1).
NPI number1104933548
StatusActive
Last updated in NPPESOct 26, 2026
Details
- NPI
- 1104933548
- Entity type
- Individual (NPI-1)
- Name
- Ms. Andrea Jane Neault
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2006
- Certification date
- Oct 26, 2026
- Last updated
- Oct 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 1901-023 | WI | Yes |
Other names
- Andrea Jane Johanen (Doing Business As)
Practice location
6085 Harbour View DrWinneconne, WI 54986-8656
Phone 920-582-0600
Mailing address
Po Box 735044Chicago, IL 60673-5044
Phone 800-326-2250
Other practice locations
N430 Wood Duck Dr
Fremont, WI 54940
Fremont, WI 54940
Phone 920-446-2000 · Fax 920-446-2031
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