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NPI Profile for DEANNA WENNBERG in LANSING, MI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner |
| NPI Number | 1053772830 |
|
| Status | Active | |
| Credentials | FNP-C (Family Nurse Practitioner, Certified) | |
| Entity | Individual | |
| Enumeration date | 03/08/2016 | |
| Last updated | 12/11/2024 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
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| Hospital affiliation(s) |
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DEANNA WENNBERG
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DEANNA WENNBERG, FNP-C