Healthcare Provider Details

I. General information

NPI: 1285758128
Provider Name (Legal Business Name): JEAN MARIE WURSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2007
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1307 RIVER DR
WATERTOWN WI
53094-6530
US

IV. Provider business mailing address

1307 RIVER DR
WATERTOWN WI
53094-6530
US

V. Phone/Fax

Practice location:
  • Phone: 920-261-3997
  • Fax:
Mailing address:
  • Phone: 920-261-3997
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number53754030
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: