Provider Demographics
NPI:1386118727
Name:MAUST, WENDY YVONNE
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:YVONNE
Last Name:MAUST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44805-2029
Mailing Address - Country:US
Mailing Address - Phone:419-651-2562
Mailing Address - Fax:419-207-1300
Practice Address - Street 1:320 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-2029
Practice Address - Country:US
Practice Address - Phone:419-207-9900
Practice Address - Fax:419-207-1300
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-18
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty