Healthcare Provider Details

I. General information

NPI: 1063001683
Provider Name (Legal Business Name): WENDY A PLUMLEY FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2021
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27386 CARRONADE DR
PERRYSBURG OH
43551-3368
US

IV. Provider business mailing address

12301 RIDGE RD
NORTH ROYALTON OH
44133-3744
US

V. Phone/Fax

Practice location:
  • Phone: 567-336-4662
  • Fax:
Mailing address:
  • Phone: 440-652-8748
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.0028043
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.387413
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: