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NPI Code Detail

MEDICARE: WENDY ANN LUNNY

MEDICARE: WENDY ANN LUNNY
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
1163WP2201XAmbulatory Care Registered NurseRN179892MA
2363LA2200XAdult Health Nurse Practitioner179892MA

General Provider Information

NPI Number : 1104353309
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY ANN LUNNY
Provider Business Mailing Address
First Line : 5 INMAN ST
Second Line :
City : HOPEDALE
State : MA
Zip : 01747-1109
Country : US
Telephone Number : 999-999-9999
Fax Number :
Provider Business Practice Location Address
First Line : 830 CHALKSTONE AVE
Second Line :
City : PROVIDENCE
State : RI
Zip : 02908-4734
Country : US
Telephone Number : 401-273-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2017
Last Update Date : 03/06/2026

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Directions to “ WENDY ANN LUNNY ” Practice Location

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