ELLEN T WENGERT

DAKOTA DUNES, SD
NPI1043612310
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: SD  CP000911)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: IA  A070238)
Enumeration Date2014-09-18
Last Update Date2014-11-20
Business Address
-- ELLEN T WENGERT NP-C
705 N SIOUX POINT RD SUITE 100
DAKOTA DUNES, SD 57049-5091
Phone number: 605-217-5500
Mailing Address
-- ELLEN T WENGERT NP-C
705 N SIOUX POINT RD SUITE 100
DAKOTA DUNES, SD 57049-5091
Phone number: 605-217-5500