MEDICARE: DENA WENZINGER

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1649952862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENA WENZINGER

Provider Business Mailing Address
First Line	:	14555 MADISON AVE APT 309
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-4364
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14555 MADISON AVE APT 406
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-4364
Country	:	US
Telephone Number	:	614-956-8628
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2023
Last Update Date	:	12/03/2025

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Directions to “ DENA WENZINGER ” Practice Location

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