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NPI Code Detail

MEDICARE: WENDY MICHELLE GOMENDI RN

MEDICARE: WENDY MICHELLE GOMENDI RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program37864MT
2363LF0000XFamily Nurse PractitionerNUR-APRN-LIC-217535MT

General Provider Information

NPI Number : 1366196446
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY MICHELLE GOMENDI RN
Provider Business Mailing Address
First Line : 3919 BUSHWOOD DR
Second Line :
City : BILLINGS
State : MT
Zip : 59106-9701
Country : US
Telephone Number : 406-581-0382
Fax Number :
Provider Business Practice Location Address
First Line : 602 HENRY CHAPPLE ST
Second Line :
City : BILLINGS
State : MT
Zip : 59106-1874
Country : US
Telephone Number : 406-994-3597
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2022
Last Update Date : 09/13/2023

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