Individual
WENDY SPELLUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
900 WARREN AVE, SUITE 401, EAST PROVIDENCE, RI 02914-1430
(800) 508-4908
(401) 228-6236
Mailing address
10 DAVOL SQ, SUITE 400, PROVIDENCE, RI 02903-4754
(401) 421-4000
(401) 272-1456
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APRN00540
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2849-7
BCBS OF RI
RI
01
—
406773
BLUE CHIP
RI
01
—
709004155
MEDICARE GROUP
RI
05
—
WS08976
—
RI
Enumeration date
09/12/2005
Last updated
03/31/2016
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