Bonita J. Wendel APNP/BC

NPI 1053590323 - Nurse Practitioner - 363L00000X

NPI Details
NPI 1053590323
Gender Female
Enumeration Date 11/02/2007
Last Updated 11/15/2011
Entity Type Individual
Active Over 9 years ago
Practice Location
2061 CHEYENNE CT
GRAFTON WI, 53024-9368, US
Phone (262) 376-1934
Fax
Business Location
4425 N PORT WASHINGTON RD
ATTN: CSMCP CLINIC CREDENTIALING
GLENDALE WI, 53212-1082, US
Phone (262) 376-1934
Fax
Toxanomy
Taxonomy Code 363L00000X
License State Wisconsin
License Number 3244
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According to our database, Bonita J. Wendel APNP/BC NPI is 1053590323, taxonomy code is 363L00000X and license number is 3244, license state is located at Wisconsin. Bonita J. Wendel APNP/BC physically located at 2061 Cheyenne Ct, Grafton WI, 53024-9368. NPI Number Bonita J. Wendel APNP/BC has the Individual type.

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1053590323 NPI number is provided on an as is basis without warranty of any kind. 1053590323 is maintained by the National Plan & Provider Enumeration System. The contents of Bonita J. Wendel APNP/BC are for informational purposes only.