Healthcare Provider Details

I. General information

NPI: 1083234579
Provider Name (Legal Business Name): WENDY G. STEPPE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/24/2020
Last Update Date: 04/24/2020
Certification Date: 04/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4622 NEMMO RD
VINTON VA
24179-5962
US

IV. Provider business mailing address

2001 CRYSTAL SPRING AVE SW STE 302
ROANOKE VA
24014-2465
US

V. Phone/Fax

Practice location:
  • Phone: 540-494-0871
  • Fax: 540-981-7469
Mailing address:
  • Phone: 540-494-0871
  • Fax: 540-981-7469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WG0600X
TaxonomyGerontology Registered Nurse
License Number0001209365
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: