Moline, Wende A

Moline, Wende A is an individual health care provider with primary practice located at 9200 W Loomis Rd Suite 101, Franklin WI 53132-8887. 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) 529-9300.

Contact Information

Primary practice address
9200 W Loomis Rd Suite 101 Franklin WI 53132-8887
Fax: (414) 529-9337
Website:

Health care specialties

SpecialtyCodeLicense #State
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 Nov 24th, 2021 - about 5 years ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457351355 NPPES
Wisconsin MEDICAID 41181400
Wisconsin Other P00989263

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