Healthcare Provider Details

I. General information

NPI: 1215656616
Provider Name (Legal Business Name): WENDY SCHWOCHOW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WENDY FOLLEY RN

II. Dates (important events)

Enumeration Date: 08/26/2022
Last Update Date: 08/26/2022
Certification Date: 06/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29160 CENTER RIDGE RD
WESTLAKE OH
44145-5225
US

IV. Provider business mailing address

324 NAPLES DR
ELYRIA OH
44035-1525
US

V. Phone/Fax

Practice location:
  • Phone: 440-935-6996
  • Fax:
Mailing address:
  • Phone: 440-669-4208
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberAPRN.CNM.0019526
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: