Provider Demographics
NPI:1821857145
Name:WNEK, JULIE A (RN)
Entity Type:Individual
Prefix:MRS
First Name:JULIE
Middle Name:A
Last Name:WNEK
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:A
Other - Last Name:STREAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:N9420 OLDE OAK TREE CT
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54915-5222
Mailing Address - Country:US
Mailing Address - Phone:920-915-2840
Mailing Address - Fax:
Practice Address - Street 1:N9420 OLDE OAK TREE CT
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54915-5222
Practice Address - Country:US
Practice Address - Phone:920-915-2840
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI116022-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse