Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROF. WALTER THOMAS WENDA, R.N.
Active Sole ProprietorPROF. WALTER THOMAS WENDA, R.N. is a Medical-Surgical Nurse healthcare provider located in CRYSTAL, Minnesota. NPI 1679888085 is currently active in the NPPES registry. Verify at CMS.
Medical-Surgical Nurse · CRYSTAL, MN
Registration Details
- NPI Number
- 1679888085
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 10, 2010 (16.047571858375 yrs)
- Last Updated
- Jan 12, 2012
- Licenses
-
R-084696-3 (MN)R-084696-3 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5700 W BROADWAY AVECRYSTAL, MN, 554283568Browse MN providers · Browse ZIP 55428
- Phone
- 6514643966
- Primary Specialty
-
Medical-Surgical Nurse
163WM0705X
- Additional Specialty
- Occupational Health Nurse
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.