Individual
ROBYN WENDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040-6805
(618) 877-4420
Mailing address
50 NORTHGATE INDUSTRIAL DR, GRANITE CITY, IL 62040-6805
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.011311
IL
363LF0000X
Family Nurse Practitioner
309.007384
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.011311
IL
Other
Enumeration date
04/20/2014
Last updated
04/19/2024
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