Linda M Wesp, N.P.
Nurse Practitioner, Family in Glendale, WI. Individual provider (NPI-1).
NPI number1619087145
StatusActive
Last updated in NPPESSep 3, 2020
Details
- NPI
- 1619087145
- Entity type
- Individual (NPI-1)
- Name
- Ms. Linda M Wesp
- Credential
- N.P.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2006
- Certification date
- Sep 2, 2020
- Last updated
- Sep 3, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 337230 | NY | Yes |
| 363LF0000X | Nurse Practitioner, Family | 6596-33 | WI |
Practice location
4655 N Port Washington RdSte 325
Glendale, WI 53212-1000
Phone 414-269-8282 · Fax 414-269-8280
Mailing address
4655 N Port Washington Rd Ste 325Glendale, WI 53212-1000
Phone 414-999-1099 · Fax 414-999-0699
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