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Individual
TRISHA WIERENGA
Active
Individual
TRISHA WIERENGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BSN, RN, IBCLC, RLC
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
L-35463
IL
363LF0000X
Family Nurse Practitioner
Primary
209023427
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209023427
FAMILY NURSE PRACTITIONER
IL
Enumeration date
05/08/2014
Last updated
07/22/2021
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