Individual
JEAN MARIE WURSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1307 RIVER DR, WATERTOWN, WI 53094-6530
(920) 261-3997
Mailing address
1307 RIVER DR, WATERTOWN, WI 53094-6530
(920) 261-3997
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
53754030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38273600
—
WI
Enumeration date
03/17/2007
Last updated
07/09/2007
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