Individual
SHANDI ANN WARGOLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3250 KINGSLEY WAY, MADISON, WI 53713-4628
(608) 910-3674
Mailing address
3250 KINGSLEY WAY, MADISON, WI 53713-4628
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
229130-30
WI
Other
Enumeration date
02/06/2025
Last updated
02/06/2025
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