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Individual

KAYLA LYNN WENDLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-2537
(414) 384-2000
Mailing address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-2537
(414) 384-2000

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
198381-30
WI
363LF0000X
Family Nurse Practitioner
Primary
8644
WI

Other

Enumeration date
12/04/2014
Last updated
09/16/2019
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