Individual
MS. WENDY MARIE CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
21 SHORE RD, BERKLEY, MA 02779-2324
(774) 501-1440
(508) 967-7304
Mailing address
21 SHORE RD, BERKLEY, MA 02779-2324
(774) 501-1440
(508) 967-7304
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
230033
MA
163W00000X
Registered Nurse
48702
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN01440
RI
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN230033
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN01440
APRN
RI
01
—
MC4398120
CONTROLLED SUBSTANCE REGISTRATION
MA
01
—
RN230033
APRN
MA
05
—
S400325789
—
MA
Enumeration date
03/31/2016
Last updated
08/14/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us