Individual
LORI JANE WENDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
206 CHASE PARK, HURRICANE, WV 25526
(304) 382-2080
(304) 404-2057
Mailing address
206 CHASE PARK, HURRICANE, WV 25526
(304) 382-2080
(304) 404-2057
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
37430
WV
363LF0000X
Family Nurse Practitioner
Primary
APRN37430
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810020023
—
WV
01
—
P01087432
MEDICARE RAILROAD
WV
Enumeration date
08/27/2010
Last updated
07/02/2025
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