Individual
JENNIFER MARIE PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
807 MEADOWVIEW ST, BANGOR, WI 54614-9245
(608) 792-5816
Mailing address
807 MEADOWVIEW ST, BANGOR, WI 54614-9245
(608) 792-5816
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
172543-30
WI
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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