Individual
WENDY A WINDHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
400 N EDWARDS ST, ENTERPRISE, AL 36330-2510
(334) 347-0584
Mailing address
400 N EDWARDS ST, ENTERPRISE, AL 36330-2510
(334) 347-0584
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1-053949
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009973270
—
AL
Enumeration date
04/27/2006
Last updated
10/02/2014
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