Individual
BEVERLY MARIE WOLDANSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
W9042 W TOWNLINE RD, WHITEWATER, WI 53190-4173
(608) 883-2373
Mailing address
W9042 W TOWNLINE RD, WHITEWATER, WI 53190-4173
(608) 883-2373
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
310852-031
WI
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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