Provider Demographics
NPI:1336287960
Name:JUNGHAHN, FAITH LYNN (RN)
Entity Type:Individual
Prefix:MS
First Name:FAITH
Middle Name:LYNN
Last Name:JUNGHAHN
Suffix:
Gender:F
Credentials:RN
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Mailing Address - Street 1:6921 W ORCHARD ST
Mailing Address - Street 2:208
Mailing Address - City:WEST ALLIS
Mailing Address - State:WI
Mailing Address - Zip Code:53214-4858
Mailing Address - Country:US
Mailing Address - Phone:414-574-1034
Mailing Address - Fax:
Practice Address - Street 1:9000 W WISCONSIN AVE
Practice Address - Street 2:CHILDRENS HOSPITAL WISCONSIN
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53226-3518
Practice Address - Country:US
Practice Address - Phone:414-266-2000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI364SP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0200XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPediatrics