Individual
KARI JEANE MONGEON WAHLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGCNS-BC
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
568
MN
364S00000X
Clinical Nurse Specialist
568
MN
Other
Enumeration date
03/07/2019
Last updated
12/10/2020
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