Individual
RENEE FRANCES WAUTIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
5046 PLUM BOTTOM RD, EGG HARBOR, WI 54209-9147
(920) 619-5242
Mailing address
5046 PLUM BOTTOM RD, EGG HARBOR, WI 54209-9147
(920) 619-5242
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
140279-030
WI
163WG0000X
General Practice Registered Nurse
140279-030
WI
172V00000X
Community Health Worker
Primary
140279-030
WI
251J00000X
Nursing Care Agency
140279-030
WI
Other
Enumeration date
06/16/2025
Last updated
06/16/2025
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