Provider Demographics
NPI:1386073419
Name:GOLDEN, WENDY A (WHNP)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:A
Last Name:GOLDEN
Suffix:
Gender:F
Credentials:WHNP
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:A
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-2540
Mailing Address - Fax:717-715-1310
Practice Address - Street 1:13515 WOLFE RD
Practice Address - Street 2:STE D
Practice Address - City:NEW FREEDOM
Practice Address - State:PA
Practice Address - Zip Code:17349-9346
Practice Address - Country:US
Practice Address - Phone:717-812-2540
Practice Address - Fax:717-715-1310
Is Sole Proprietor?:No
Enumeration Date:2013-11-08
Last Update Date:2021-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN247909COA1163W00000X
OH15302NP363LW0102X
PASP014974363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0094487Medicaid
PAP01526243Medicare PIN
OH0094487Medicaid