MEDICARE: WENDY A PLUMLEY FNP-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN.387413	OH
2	363LF0000X	Family Nurse Practitioner	APRN.CNP.0028043	OH

General Provider Information

NPI Number	:	1063001683
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENDY A PLUMLEY FNP-C

Provider Business Mailing Address
First Line	:	12301 RIDGE RD
Second Line	:
City	:	NORTH ROYALTON
State	:	OH
Zip	:	44133-3744
Country	:	US
Telephone Number	:	440-652-8748
Fax Number	:

Provider Business Practice Location Address
First Line	:	27386 CARRONADE DR
Second Line	:
City	:	PERRYSBURG
State	:	OH
Zip	:	43551-3368
Country	:	US
Telephone Number	:	567-336-4662
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/18/2021
Last Update Date	:	06/04/2026

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