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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JENNIFER AUTUMN MASTRANGELO, RN

Active Sole Proprietor

JENNIFER AUTUMN MASTRANGELO, RN is a Registered Nurse healthcare provider located in WALES, Wisconsin. NPI 1790389179 is currently active in the NPPES registry. Verify at CMS.

Registered Nurse · WALES, WI

Registration Details

NPI Number
1790389179
Provider Type
Individual
Gender
Female
NPI Issued
Nov 25, 2020 (5.7203274294335 yrs)
Last Updated
Nov 25, 2020
License
161454 (WI)
Sole Proprietor
Yes

Practice Information

Address
415 BLACK EARTH RD
WALES, WI, 531839759
Browse WI providers · Browse ZIP 53183
Phone
2628935358
Primary Specialty
Registered Nurse
163W00000X

Other Registered Nurse Providers in WALES, WI

Name Credential NPI
MRS. CARRIE ANN TANG RN 1588148423
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.