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Individual

MRS. MARLENE MARSHA HETZEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APNP

Contact information

Practice address
400 W RIVER DR, WEST BEND, WI 53090-1518
(262) 334-4340
(414) 671-0161
Mailing address
3125 WESTERN AVE, JACKSON, WI 53037-9791
(414) 315-7868

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2242
WI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2242
WI

Other

Enumeration date
01/22/2007
Last updated
11/29/2023
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