Individual
BRYANNA L WENDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
803 E MAURER ST, SHAWANO, WI 54166-2627
(715) 524-5532
Mailing address
803 E MAURER ST, SHAWANO, WI 54166-2627
(715) 524-5532
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
190316
WI
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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