William Wenstrom
Nurse Practitioner Nurse Practitioner - Acute Care
3615 Hospital St
Pascagoula
, Mississippi 39581
William Wenstrom
Nurse Practitioner Nurse Practitioner - Acute Care
3615 Hospital St
Pascagoula
, Mississippi 39581
(228) 230-2663
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About
Features
Specialties
- Nurse Practitioner
- Nurse Practitioner - Acute Care
Languages spoken
- English
Location
First Address
- William Wenstrom
- 6300 E Lake Blvd Ste 301
- Vancleave, MS
- Zip : 39565-6771
- Phone : (228) 230-2663
Second Address
- William Wenstrom
- 3615 Hospital St
- Pascagoula, MS
- Zip : 39581
- Fax : (228) 546-3257
- Phone : (228) 230-2663
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | R851481 | MS |
| N | 363LA2100X | Nurse Practitioner - Acute Care | R851481 | MS |
National Provider Identifier
| NPI | 1013170653 |
|---|---|
| Provider Name | William Wenstrom |
| First Address | Vancleave, MS 39565-6771 |
| Second Address | Pascagoula, MS 39581 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/07/2008 |
| Last Update Date | 29/10/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.