Individual
JUDY YAKICH WENTLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1039 WEST MASON STREET, EXECUTIVE OFFICE SUITES, GREEN BAY, WI 54303
(920) 965-7716
Mailing address
2643 LIBAL ST, STE C, GREEN BAY, WI 54301-2885
(920) 388-0560
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
911033
WI
Other
Enumeration date
10/03/2006
Last updated
04/30/2018
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