Individual
FATU WLEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN, CNP
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
2133519
MN
363LN0000X
Neonatal Nurse Practitioner
Primary
12607
MN
Other
Enumeration date
09/23/2024
Last updated
03/06/2025
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