Individual
CARLA J WECH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
723 S WISCONSIN ST, PULASKI, WI 54162-9303
(920) 822-1100
(920) 822-5731
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
481-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1720366032
—
WI
01
—
F0711219
AMERICAN ACADEMY OF NURSE PRACTITIONERS
—
Enumeration date
08/03/2011
Last updated
09/17/2021
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