Agnieszka Dendura
Nurse Practitioner in Tomah, WI. Individual provider (NPI-1).
NPI number1164057717
StatusActive
Last updated in NPPESJan 14, 2021
Details
- NPI
- 1164057717
- Entity type
- Individual (NPI-1)
- Name
- Agnieszka Dendura
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 4, 2020
- Certification date
- Jan 14, 2021
- Last updated
- Jan 14, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 9811-33 | WI | Yes |
Practice location
501 Gopher DrTomah, WI 54660-4513
Phone 608-371-2181
Mailing address
501 Gopher DrTomah, WI 54660-4513
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All 14 Nurse Practitioner providers in Tomah · All 775 providers in Tomah
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