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Individual
MS. KAREN L WOLLENBERG
Active
Individual
MS. KAREN L WOLLENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
ARNP1576432
FL
363L00000X
Nurse Practitioner
Primary
AP60291690
WA
363LA2200X
Adult Health Nurse Practitioner
ARNP1576432
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
304739300
—
FL
Enumeration date
05/23/2005
Last updated
04/29/2021
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