Individual
CRISTA B WENISCH
Active
Individual
CRISTA B WENISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
A-117142
IA
363LF0000X
Family Nurse Practitioner
Primary
R217101-8
MN
Other
Enumeration date
02/03/2012
Last updated
02/10/2021
Update your record
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