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General NPI Number Information
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NPI Number | 1568343259
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Entity Type | Individual
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Provider Name | SHEENA ALEXIS WENTZ MSN, APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/09/2025
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Last Update Date | 03/01/2026
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Provider Practice Location Address
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Address Line | 1402 RIVER VIEW DR
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City | CODY
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State | WY
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Zip | 82414-3127
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Country | US
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Telephone | 253-495-8122
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Fax |
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Provider Business Mailing Address
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Address Line | 1038 PARK AVE
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City | CODY
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State | WY
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Zip | 82414-4124
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 57439
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License Number State | WY
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