Provider Demographics
NPI:1225846082
Name:MCCLENAHAN, WENDY J (NBC-HWC, RN)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:J
Last Name:MCCLENAHAN
Suffix:
Gender:F
Credentials:NBC-HWC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:557 ACKERT HOOK RD
Mailing Address - Street 2:
Mailing Address - City:RHINEBECK
Mailing Address - State:NY
Mailing Address - Zip Code:12572-2707
Mailing Address - Country:US
Mailing Address - Phone:845-876-8780
Mailing Address - Fax:
Practice Address - Street 1:557 ACKERT HOOK RD
Practice Address - Street 2:
Practice Address - City:RHINEBECK
Practice Address - State:NY
Practice Address - Zip Code:12572-2707
Practice Address - Country:US
Practice Address - Phone:845-705-5574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-26
Last Update Date:2024-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY447550163W00000X
A-4010603171400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No163W00000XNursing Service ProvidersRegistered Nurse