Individual
MRS. LISA WENGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
1767 PARK AVE, PLOVER, WI 54467-4301
(715) 344-1260
Mailing address
5318 DENTON PL, MADISON, WI 53711-4325
(262) 390-0164
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
13766-33
WI
363LF0000X
Family Nurse Practitioner
1376633
WI
Other
Enumeration date
04/26/2023
Last updated
08/16/2023
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