Provider Demographics
NPI:1104887702
Name:ZUBENKO, WENDY NUSS (EDD, MSN)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:NUSS
Last Name:ZUBENKO
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Gender:F
Credentials:EDD, MSN
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Mailing Address - Street 1:12300 PERRY HIGHWAY
Mailing Address - Street 2:SUITE 204
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7612
Mailing Address - Country:US
Mailing Address - Phone:412-719-2303
Mailing Address - Fax:724-719-2303
Practice Address - Street 1:12300 PERRY HIGHWAY
Practice Address - Street 2:SUITE 204
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-7612
Practice Address - Country:US
Practice Address - Phone:412-719-2303
Practice Address - Fax:724-719-2303
Is Sole Proprietor?:No
Enumeration Date:2006-03-31
Last Update Date:2019-07-16
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Provider Licenses
StateLicense IDTaxonomies
PARN268273L364SP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0808XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100950069Medicaid
Q02542Medicare UPIN