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General NPI Number Information
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NPI Number | 1801640404
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Entity Type | Organization
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Legal Business Name | WENDY FNP-C
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Dates
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Enumeration Date | 04/11/2024
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Last Update Date | 04/11/2024
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Provider Practice Location Address
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Address Line | 2110 E FLAMINGO RD STE 100
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City | LAS VEGAS
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State | NV
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Zip | 89119-5191
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Country | US
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Telephone | 702-882-4954
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Fax |
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Provider Business Mailing Address
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Address Line | 3803 CHASE GLEN CIR
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City | LAS VEGAS
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State | NV
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Zip | 89121-4137
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Country | US
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Telephone | 702-882-4954
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Fax |
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Authorized Official
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Title or Position | NP
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Name | WENDY CAOILE ARFAPO
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Credential | FNP-C
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Telephone | 702-882-4954
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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 |
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License Number State |
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