| NPI | 1679905020 |
|---|---|
| Former Name | KENDRA L WUELLNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201502470NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5376) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2018-03-02 |