Provider Demographics
NPI:1538970702
Name:GLASS, WENDY S (PMHNP-BC)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:S
Last Name:GLASS
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:3044 COLUMBUS LANCASTER RD NW
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-8125
Mailing Address - Country:US
Mailing Address - Phone:740-883-9300
Mailing Address - Fax:740-421-3193
Practice Address - Street 1:3044 COLUMBUS LANCASTER RD NW
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-8125
Practice Address - Country:US
Practice Address - Phone:740-883-9300
Practice Address - Fax:740-421-3193
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-16
Last Update Date:2025-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH171M00000X
OHAPRN.CNP.0038440363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator