Individual
ADAM JOHN WENDORFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN.CNP
Contact information
Practice address
18101 LORAIN AVE, 4 PAVILION - CHILD & ADOLESCENT PSYCHIATRY, CLEVELAND, OH 44111-5612
(216) 476-6958
(216) 476-4845
Mailing address
19729 PARKMOUNT AVE, CLEVELAND, OH 44135-1767
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
BEINGREVIEWED1
OH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
PROCESSING
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN.CNP.0031707
APRN LICENSE NUMBER
OH
Enumeration date
07/02/2022
Last updated
07/06/2022
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