Individual
MRS. WENDELA E KUSHION
Active
Individual
MRS. WENDELA E KUSHION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN MSN CNS CDE
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
4704102064
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0876131
BCBS INDIVIDUAL PIN
MI
Enumeration date
10/17/2006
Last updated
07/08/2007
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