Healthcare Provider Details

I. General information

NPI: 1770032013
Provider Name (Legal Business Name): WENDY L. HEPLER CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WENDY L. PITTINGER

II. Dates (important events)

Enumeration Date: 09/28/2016
Last Update Date: 09/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1112 S MILL ST
NEW CASTLE PA
16101-4629
US

IV. Provider business mailing address

100 SHENANGO AVE
SHARON PA
16146-1503
US

V. Phone/Fax

Practice location:
  • Phone: 724-658-4564
  • Fax: 724-657-8563
Mailing address:
  • Phone: 724-658-4564
  • Fax: 724-657-8563

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP016578
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: