Healthcare Provider Details

I. General information

NPI: 1295858447
Provider Name (Legal Business Name): TRISHA L. WENDLING RN, APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: PATRICIA L. ACTON RN, CNP

II. Dates (important events)

Enumeration Date: 04/10/2007
Last Update Date: 09/23/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 BURNET AVENUE MLC 2000
CINCINNATI OH
45229-3026
US

IV. Provider business mailing address

3333 BURNET AVENUE MLC 2000
CINCINNATI OH
45229-3026
US

V. Phone/Fax

Practice location:
  • Phone: 513-636-6771
  • Fax: 513-636-5835
Mailing address:
  • Phone: 513-636-6771
  • Fax: 513-636-5835

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberCOA.02793-NP
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.02793
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: