Provider Demographics
NPI:1124261367
Name:PAGE, WENDY A (RN)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:A
Last Name:PAGE
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 1:299 GLENRIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:HOWARD
Mailing Address - State:OH
Mailing Address - Zip Code:43028-9650
Mailing Address - Country:US
Mailing Address - Phone:740-507-0008
Mailing Address - Fax:
Practice Address - Street 1:299 GLENRIDGE CIR
Practice Address - Street 2:
Practice Address - City:HOWARD
Practice Address - State:OH
Practice Address - Zip Code:43028-9650
Practice Address - Country:US
Practice Address - Phone:740-507-0008
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-17
Last Update Date:2009-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.259932163W00000X, 163WC0400X, 163WG0600X, 163WH0200X, 163WH1000X, 163WI0500X, 163WP0000X, 163WX0200X, 163WX0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0000XNursing Service ProvidersRegistered NursePain Management
No163W00000XNursing Service ProvidersRegistered Nurse
No163WC0400XNursing Service ProvidersRegistered NurseCase Management
No163WG0600XNursing Service ProvidersRegistered NurseGerontology
No163WH0200XNursing Service ProvidersRegistered NurseHome Health
No163WH1000XNursing Service ProvidersRegistered NurseHospice
No163WI0500XNursing Service ProvidersRegistered NurseInfusion Therapy
No163WX0200XNursing Service ProvidersRegistered NurseOncology
No163WX0800XNursing Service ProvidersRegistered NurseOrthopedic