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Shelly Ann Van De Weerd, RN

Registered Nurse in Wausau, WI. Individual provider (NPI-1).

NPI number1346754652
StatusActive
Last updated in NPPESNov 22, 2017

Details

NPI
1346754652
Entity type
Individual (NPI-1)
Name
Shelly Ann Van De Weerd
Credential
RN
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 22, 2017
Last updated
Nov 22, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse198871WIYes
163W00000X Registered Nurse19877130WI

Practice location

916 S 10th St
Wausau, WI 54403-6502

Phone 715-570-8912

Mailing address

1300 N 9th Ave
Wausau, WI 54401-2683

Phone 715-551-0346

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