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Kathleen Wellenberger, RN

Registered Nurse in Plainview, NY. Individual provider (NPI-1).

NPI number1023616331
StatusActive
Last updated in NPPESOct 9, 2020

Details

NPI
1023616331
Entity type
Individual (NPI-1)
Name
Kathleen Wellenberger
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Oct 9, 2020
Certification date
Oct 9, 2020
Last updated
Oct 9, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse271171NYYes

Practice location

55 W Ames Ct
Plainview, NY 11803-2304

Phone 516-822-6111 · Fax 516-348-0288

Mailing address

421 Vanderbilt Loop
Yaphank, NY 11980-2049

Phone 631-374-7827

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