MEDICARE: MRS. SHEENA ALEXIS WENTZ MSN, APRN, 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	363LF0000X	Family Nurse Practitioner	57439	WY

General Provider Information

NPI Number	:	1568343259
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHEENA ALEXIS WENTZ MSN, APRN, FNP-C

Provider Business Mailing Address
First Line	:	1038 PARK AVE
Second Line	:
City	:	CODY
State	:	WY
Zip	:	82414-4124
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1402 RIVER VIEW DR
Second Line	:
City	:	CODY
State	:	WY
Zip	:	82414-3127
Country	:	US
Telephone Number	:	253-495-8122
Fax Number	:

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

Provider Enumeration Date	:	09/09/2025
Last Update Date	:	03/01/2026

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