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Individual

MS. JANICE LOUISE WALDSTEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DN, ARNP

Contact information

Practice address
719 N 3RD AVE, WAUSAU, WI 54401-2965
(715) 675-9858
(715) 675-5475
Mailing address
719 N 3RD AVE, WAUSAU, WI 54401-2965
(715) 675-9858
(715) 675-5475

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
2636122
FL
363LA2200X
Adult Health Nurse Practitioner
Primary
4403-33
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1538152491
WI
05
308257100
FL
Enumeration date
08/16/2005
Last updated
03/15/2012
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