Individual
MISS ERIN NICOLE WENTLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 887-7181
Mailing address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3984-033
WI
Other
Enumeration date
03/03/2010
Last updated
03/03/2010
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