June C Magnussen, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

F11190449 Issued in WI

Practice address

1650 S 41St St
Manitowoc, WI 54220-7316

Phone

(920) 419-4405

NPI assigned

Mar 11, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1891320735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "884 MILLBROOK DR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549561288",
            "telephone_number": "920-419-4405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 S 41ST ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542207316",
            "telephone_number": "920-419-4405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGNUSSEN",
        "first_name": "JUNE",
        "middle_name": "C",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "F11190449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cheryl L. Lustig, APNP
• Timothy J Maatman, MD
• Stephanie Madson, SOCIAL WORKER
• Alexis Maes, SAC-IT
• Gineen Magiera, M.S., CCC/SLP
• Lindsey Mahler
• Renee Marie Maigatter, D.C.
• Andrew Allen Malkowski, APNP
• Rachel Marie Maltby, DPT
• Julie A Maney, CSW

• Family Nurse Practitioner in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Family Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.