Individual
WENDE A MOLINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-BC
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY, MILWAUKEE, WI 53215-3669
(414) 649-1280
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
26598
SC
363L00000X
Nurse Practitioner
Primary
658-033
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41181400
—
WI
01
—
P00989263
RR MEDICARE
WI
Enumeration date
07/21/2005
Last updated
01/26/2025
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