Individual
DANIELLE R WETZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN DPN
Contact information
Practice address
2040 OGDEN AVE STE 215, AURORA, IL 60504-7205
(630) 375-2844
Mailing address
2040 OGDEN AVE STE 215, AURORA, IL 60504-7205
(630) 375-2844
(630) 375-2808
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
209019168
IL
Other
Enumeration date
02/22/2019
Last updated
07/21/2020
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