Individual
MS. PHYLLIS M WERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1412 N WOOD AVE, MARSHFIELD, WI 54449
(715) 387-1016
Mailing address
PO BOX 853, 1412 N WOOD AVE, MARSHFIELD, WI 54449
(715) 387-1016
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
53905030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38333200
—
WI
Enumeration date
03/13/2007
Last updated
07/08/2007
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