Individual
JEREMY KEITH WENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
3309 HAZEL TREE CT, HENRICO, VA 23233-1799
(469) 939-6833
Mailing address
3309 HAZEL TREE CT, HENRICO, VA 23233-1799
(469) 939-6833
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001313743
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024192249
VA
Other
Enumeration date
01/24/2023
Last updated
02/21/2025
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