Individual
ERIN WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
16342 N IL HWY 37, MT VERNON, IL 62864
(618) 242-1511
(618) 242-0958
Mailing address
16342 N IL HWY 37, MT VERNON, IL 62864
(618) 242-1511
(618) 242-0958
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
043115535
IL
Other
Enumeration date
12/03/2012
Last updated
12/03/2012
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