Individual
MRS. WENDY WANG DE SILVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
7758 WISCONSIN AVE, SUITE 211, BETHESDA, MD 20814-3530
(301) 530-3237
(301) 907-4590
Mailing address
7758 WISCONSIN AVE, SUITE 211, BETHESDA, MD 20814-3530
(301) 530-3237
(301) 907-4590
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
471109
CA
363LG0600X
Gerontology Nurse Practitioner
Primary
R175265
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0060
BCBS DC
—
05
—
051012200
—
MD
01
—
0943ER-891740-02
CAREFIRST BCBS OF MD
—
01
—
0943SE-891740-02
CAREFIRST BCBS OF MD
—
01
—
522096682004
TRICARE NORTH
—
01
—
8307572
EVERCARE
—
01
—
89174002
CAREFIRST MD
—
01
—
9680-0048
CAREFIRST BCBS OF DC
—
01
—
WNP11075B
PPIN
CA
Enumeration date
07/04/2006
Last updated
10/03/2011
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