Healthcare Provider Details

I. General information

NPI: 1306311311
Provider Name (Legal Business Name): WENDY WEBER LOWRY PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2018
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19409 PLANTATION RD UNIT 4
REHOBOTH BEACH DE
19971-4493
US

IV. Provider business mailing address

19409 PLANTATION RD UNIT 4
REHOBOTH BEACH DE
19971-4493
US

V. Phone/Fax

Practice location:
  • Phone: 302-224-1400
  • Fax: 302-224-1402
Mailing address:
  • Phone: 302-224-1400
  • Fax: 302-224-1402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberL8-0010843
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberAP138563
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAP138563
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: