Individual
WENDY BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CDE
Contact information
Practice address
14500 99TH AVE N, MAPLE GROVE, MN 55369-4730
(763) 898-1000
(763) 898-1374
Mailing address
14500 99TH AVE N, MAPLE GROVE, MN 55369-4730
(763) 898-1000
(763) 898-1374
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
238365-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238365-7
RN
MN
Enumeration date
10/11/2016
Last updated
10/11/2016
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