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NPI Code Detail

MEDICARE: WENDY ANN DOTSON CNM

MEDICARE: WENDY ANN DOTSON CNM
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
1367A00000XAdvanced Practice Midwife0024138899VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639164122
Entity Type Code : Individual
Provider Name (Legal Business Name) : WENDY ANN DOTSON CNM
Provider Business Mailing Address
First Line : 7130 GLEN FOREST DR
Second Line : SUITE 101
City : RICHMOND
State : VA
Zip : 23226-3754
Country : US
Telephone Number : 804-288-4084
Fax Number : 804-282-8678
Provider Business Practice Location Address
First Line : 12129 GRAHAM MEADOWS DR
Second Line :
City : RICHMOND
State : VA
Zip : 23233-6661
Country : US
Telephone Number : 804-288-4084
Fax Number : 804-282-2601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/12/2005
Last Update Date : 04/19/2018

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