Individual
DORIS WENGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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