Provider Demographics
NPI:1992006670
Name:WENSZELL, MARIA THERESE (RN)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:THERESE
Last Name:WENSZELL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:THERESE
Other - Last Name:LEDESMA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:N27W22161 TIMBERWOOD LN
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53186-1006
Mailing Address - Country:US
Mailing Address - Phone:262-227-3998
Mailing Address - Fax:
Practice Address - Street 1:N27W22161 TIMBERWOOD LN
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53186-1006
Practice Address - Country:US
Practice Address - Phone:262-227-3998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-11
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI122238-030163WH0200X, 163WH1000X, 3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant