Individual
BILLIE JO WENSVEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1215 W LEWIS ST, PASCO, WA 99301-5472
(509) 543-6700
Mailing address
1215 W LEWIS ST, PASCO, WA 99301-5472
(509) 543-6700
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
RN00120344
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN00120344
—
WA
Enumeration date
09/20/2022
Last updated
09/20/2022
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