Individual
WENDY STURDEVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
8813 CANYON RIM WAY UNIT 201, LAS VEGAS, NV 89117-3390
(702) 339-1457
Mailing address
8813 CANYON RIM WAY APT 201, LAS VEGAS, NV 89117
(702) 339-1457
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN16999
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPN16999
NV LPN LICENSE
NV
Enumeration date
08/18/2008
Last updated
09/14/2021
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