Individual
MRS. LISA A WENTZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
10 RESEARCH PL STE 202, N CHELMSFORD, MA 01863-2439
(978) 275-1390
(978) 275-1394
Mailing address
6 CHENEY DR, HUDSON, NH 03051-3903
(603) 459-8134
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
RN2293965
MA
363L00000X
Nurse Practitioner
Primary
RN2293965
MA
Other
Enumeration date
09/10/2020
Last updated
09/29/2020
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