Provider Demographics
NPI:1467762369
Name:STIEGEL, WENDY ANN (RN)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:ANN
Last Name:STIEGEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 EAST MAIN AVE
Mailing Address - Street 2:PO BOX 236
Mailing Address - City:FRAZEE
Mailing Address - State:MN
Mailing Address - Zip Code:56544-0236
Mailing Address - Country:US
Mailing Address - Phone:218-334-2434
Mailing Address - Fax:218-334-2534
Practice Address - Street 1:111 EAST MAIN AVE.
Practice Address - Street 2:
Practice Address - City:FRAZEE
Practice Address - State:MN
Practice Address - Zip Code:56544
Practice Address - Country:US
Practice Address - Phone:218-334-2434
Practice Address - Fax:218-334-2534
Is Sole Proprietor?:No
Enumeration Date:2010-10-14
Last Update Date:2010-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR-118878-5163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health