Individual
MS. JUSTINE MARIE WAMBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1111 1ST ST, WAUBUN, MN 56589-4047
(218) 204-0180
Mailing address
29664 COUNTY ROAD 112, WAUBUN, MN 56589-2800
(218) 204-0180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R1819494
MN
163W00000X
Registered Nurse
R32575
ND
363LF0000X
Family Nurse Practitioner
Primary
3295
MN
363LF0000X
Family Nurse Practitioner
Primary
R1819494
MN
Other
Enumeration date
10/17/2007
Last updated
04/13/2026
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