Healthcare Provider Details
I. General information
NPI: 1174438972
Provider Name (Legal Business Name): WENDY HARPER LOIS NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 08/17/2026
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
22 MAURERBROOK DR
FISHKILL NY
12524-1115
US
IV. Provider business mailing address
22 MAURERBROOK DR
FISHKILL NY
12524-1115
US
V. Phone/Fax
- Phone: 845-702-9845
- Fax:
- Phone: 845-702-9845
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171400000X |
| Taxonomy | Health & Wellness Coach |
| License Number | |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: