Moline, Wende A
Moline, Wende A is an individual health care provider with primary practice located at 2801 W Kinnickinnic River Pkwy , Milwaukee WI 53215-3669. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Moline, Wende A can be contacted via phone (414) 649-1280.Contact Information
Primary practice address
2801 W Kinnickinnic River Pkwy
Milwaukee WI 53215-3669
Phone: (414) 649-1280
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 26598 | South Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 658-033 | Wisconsin |
Profile Details
| NPI number | 1457351355 |
|---|---|
| LBN Legal business name | Moline, Wende A |
| Credentials | APRN-BC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2005 |
| Last updated | Jan 26th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457351355 | NPPES |
| Wisconsin | Other | P00989263 | RR MEDICARE |
| Wisconsin | MEDICAID | 41181400 | RR MEDICARE |
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