Healthcare Provider Details

I. General information

NPI: 1932454535
Provider Name (Legal Business Name): WENDY N SOH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/19/2012
Last Update Date: 03/05/2024
Certification Date: 03/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7826 EASTERN AVE NW STE 206
WASHINGTON DC
20012-1333
US

IV. Provider business mailing address

7826 EASTERN AVE NW STE 206
WASHINGTON DC
20012-1333
US

V. Phone/Fax

Practice location:
  • Phone: 202-810-5454
  • Fax: 202-810-4143
Mailing address:
  • Phone: 301-221-3036
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberNP1046169
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN1046169
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License NumberNP1046169
License Number StateDC
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: