Healthcare Provider Details

I. General information

NPI: 1861764334
Provider Name (Legal Business Name): WENDY CHRISTINE SLABAUGH CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WENDY CHRISTINE HOEFT CRNA

II. Dates (important events)

Enumeration Date: 01/31/2012
Last Update Date: 10/26/2025
Certification Date: 10/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1250 S 18TH ST
FERNANDINA BEACH FL
32034-1902
US

IV. Provider business mailing address

601 OLEANDER CT
NEPTUNE BEACH FL
32266-3630
US

V. Phone/Fax

Practice location:
  • Phone: 904-321-3500
  • Fax:
Mailing address:
  • Phone: 360-672-4908
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberRN263175
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number95002006
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN9184083
License Number StateFL
# 4
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN-3127
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: