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Individual

GWEN NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
4800 S 10TH ST, MILWAUKEE, WI 53221-2412
(414) 744-5370
Mailing address
6517 FIELDSTONE CT, RACINE, WI 53402-9401
(262) 633-4676

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
233523
WI
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
233523-30
WI

Other

Enumeration date
01/12/2023
Last updated
09/12/2023
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