IndividualActive
Jennifer Pederson, RN
NPI 1750080016 · Ambulatory Care Registered Nurse · Bangor, WI
Provider details
- NPI number
- 1750080016
- Entity type
- Individual
- Primary specialty
- Ambulatory Care Registered NurseNursing Service Providers
- Credential
- RN
- Sex
- Female
- Sole proprietor
- No
- License
- 172543-30 (WI)
Specialties & taxonomies
Nursing Service Providers
Practice location
807 Meadowview St
Bangor, WI 54614-9245
Phone: (608) 792-5816
Approximate (ZIP-level) locationGet directions
Mailing address
807 Meadowview St
Bangor, WI 54614-9245
Registry dates
- Enumerated
- 2023-02-27
- Last updated
- 2023-02-27
- Certified
- 2023-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.