Individual
LYNN M WELLNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
1200 6TH AVE N, ST CLOUD, MN 56303-2735
(320) 240-2206
(320) 240-2108
Mailing address
1200 6TH AVE N, ST CLOUD, MN 56303-2735
(320) 240-2206
(320) 240-2108
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1830787
MN
Other
Enumeration date
11/19/2018
Last updated
11/19/2018
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