Jennifer L Wildeman, RN Valid NPI
Individual provider · Registered Nurse · Norton, KS
- NPI
- 1831671023
- Type
- Individual (Type 1)
- Primary specialty
- Registered Nurse
- Specialty group
- Nursing Service Providers
- Taxonomy code
- 163W00000X
- License number
- 13-95694-111 (KS)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2018-09-04
- Last updated
- 2018-09-04
Practice location
112 S Kansas Ave
Norton, KS 67654-2111
(785) 622-4254