Individual
MRS. GLENDA SUE SUNDBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
2801 W KK RIVER PKWY, SUITE 250, MILWAUKEE, WI 53215-3669
(414) 649-6732
(414) 649-5840
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
107882-030
WI
363L00000X
Nurse Practitioner
Primary
696
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43844000
—
WI
Enumeration date
11/09/2005
Last updated
01/22/2025
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