Provider Demographics
NPI:1306110861
Name:HUNT, WENDY BERNER (RN)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:BERNER
Last Name:HUNT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:WENDY
Other - Middle Name:KAY
Other - Last Name:HUNT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2439 SLATERVILLE RD
Mailing Address - Street 2:
Mailing Address - City:SLATERVILLE SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:14881-9402
Mailing Address - Country:US
Mailing Address - Phone:607-539-7527
Mailing Address - Fax:607-539-6966
Practice Address - Street 1:2439 SLATERVILLE RD
Practice Address - Street 2:
Practice Address - City:SLATERVILLE SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:14881-9402
Practice Address - Country:US
Practice Address - Phone:607-539-7527
Practice Address - Fax:607-539-6966
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY199081-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY199081-1OtherRN LICENSE