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Individual
WENDY LOU MADDUX
Active
Individual
WENDY LOU MADDUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
RN25056
MT
363LG0600X
Gerontology Nurse Practitioner
Primary
178764
MT
364S00000X
Clinical Nurse Specialist
NUR-APRN-LIC-178764
MT
Other
Enumeration date
12/02/2009
Last updated
03/21/2026
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