Provider Demographics
NPI:1396097523
Name:HEMME, WENDY JOY (CNP)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:JOY
Last Name:HEMME
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:250 S 4TH ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55415-1321
Mailing Address - Country:US
Mailing Address - Phone:612-673-5305
Mailing Address - Fax:
Practice Address - Street 1:250 S 4TH ST RM 510
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415-1321
Practice Address - Country:US
Practice Address - Phone:612-673-5305
Practice Address - Fax:612-673-3866
Is Sole Proprietor?:No
Enumeration Date:2012-10-11
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR161395-9363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics