Individual
JOANNE L WENNSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-CPNP-PC
Contact information
Practice address
3201 S MARYLAND PKWY STE 608, LAS VEGAS, NV 89109-2428
(702) 457-5437
(702) 464-5801
Mailing address
PO BOX 845498, LOS ANGELES, CA 90084-2611
(702) 457-5437
(702) 464-5801
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
F382758-1
NY
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN-CNP882242
NV
Other
Enumeration date
12/15/2017
Last updated
12/31/2025
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