Provider Demographics
NPI:1962700930
Name:MORONI, WENDY SHARRON (NP-C)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:SHARRON
Last Name:MORONI
Suffix:
Gender:
Credentials:NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 SPRINGHILL AVENUE
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36607
Mailing Address - Country:US
Mailing Address - Phone:251-287-8437
Mailing Address - Fax:251-287-8477
Practice Address - Street 1:2900 SPRING HILL AVE
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-1822
Practice Address - Country:US
Practice Address - Phone:251-287-8437
Practice Address - Fax:251-287-8477
Is Sole Proprietor?:No
Enumeration Date:2011-03-01
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP06406363L00000X
AL1-137900363LA2200X
FLAPRN11014024363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health