Individual
CONSTANCE WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1871 EVELYN BYRD AVE, HARRISONBURG, VA 22801-3487
(540) 434-0559
Mailing address
PO BOX 1430, HARRISONBURG, VA 22803-1430
(540) 564-5800
(540) 564-5801
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
011004527
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1881001238
—
VA
Enumeration date
07/17/2014
Last updated
10/18/2017
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