Individual
MRS. HEATHER LEE WELLNITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N2860 MODE LN, FORT ATKINSON, WI 53538-8820
(920) 650-1973
Mailing address
N2860 MODE LN, FORT ATKINSON, WI 53538-8820
(920) 650-1973
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
175783030
WI
Other
Enumeration date
02/16/2011
Last updated
02/16/2011
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