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Individual

PERRY HENNESSY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
114 GRAND AVE, WAUSAU, WI 54403-6214
(715) 845-7175
Mailing address
5204 MESKER ST, WESTON, WI 54476-3019
(715) 966-5046

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
16782-33
WI

Other

Enumeration date
05/07/2025
Last updated
05/07/2025
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