Individual
WENDI N STROUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
101 E WOOD ST, SPARTANBURG, SC 29303-3040
(645) 606-0008
(864) 560-4023
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
21458
SC
363LX0106X
Occupational Health Nurse Practitioner
Primary
21458
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP5253
—
SC
01
—
SCC9995019
MEDICARE PIN
SC
01
—
SCC9996067
MEDICARE PIN
SC
Enumeration date
06/11/2018
Last updated
04/04/2024
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