Healthcare Provider Details

I. General information

NPI: 1659236859
Provider Name (Legal Business Name): WENDI SLEVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2025
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2444 E BAYBERRY DR
HARRISBURG PA
17112-6013
US

IV. Provider business mailing address

112 E MAIN ST
NEW BLOOMFIELD PA
17068-9658
US

V. Phone/Fax

Practice location:
  • Phone: 717-571-7192
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN660810
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: