Provider Demographics
NPI:1093561797
Name:LAFRAMBOISE, WENDY M (MSN, FNP, CRNP)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:M
Last Name:LAFRAMBOISE
Suffix:
Gender:F
Credentials:MSN, FNP, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 300
Mailing Address - Street 2:
Mailing Address - City:MEYERSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:15552-0300
Mailing Address - Country:US
Mailing Address - Phone:802-598-9696
Mailing Address - Fax:
Practice Address - Street 1:104 PARKVIEW DR
Practice Address - Street 2:
Practice Address - City:GRANTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21536-1086
Practice Address - Country:US
Practice Address - Phone:301-898-5510
Practice Address - Fax:833-448-0359
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-24
Last Update Date:2024-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR117191363LF0000X
PASP029628363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily