Provider Demographics
NPI:1104175074
Name:HINSEY, WENDY (RN)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:HINSEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 PROSPECT ST
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19606-2871
Mailing Address - Country:US
Mailing Address - Phone:610-376-6077
Mailing Address - Fax:610-376-6944
Practice Address - Street 1:200 PENN ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19602-1000
Practice Address - Country:US
Practice Address - Phone:610-376-6077
Practice Address - Fax:610-376-6944
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PARN219479L163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA163W000001Medicaid