Individual
DORIS WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
495 HIGHLANDS BLVD, SUITE 100, COATESVILLE, PA 19320
(610) 384-9500
(610) 384-3998
Mailing address
495 HIGHLANDS BLVD, SUITE 100, COATESVILLE, PA 19320
(610) 384-9500
(610) 384-3998
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
VP001911D
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005397
PRESCRIPTION AUTH
PA
01
—
RN193094L
RN LICENSE
PA
01
—
VP001911D
CRNP LICENSE
PA
Enumeration date
05/11/2007
Last updated
07/08/2007
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