Healthcare Provider Details

I. General information

NPI: 1346344520
Provider Name (Legal Business Name): WENDY L. GATTO CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/11/2006
Last Update Date: 02/13/2024
Certification Date: 02/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18947 JOHN J WILLIAMS HWY UNIT 212
REHOBOTH BEACH DE
19971-4476
US

IV. Provider business mailing address

142 ENGLISH RUN CIR
SPARKS MD
21152-8849
US

V. Phone/Fax

Practice location:
  • Phone: 302-645-8212
  • Fax: 302-645-2199
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberR114594
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberLJ-0000383
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: