Individual
REBECCA WENDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
613 PARK AVE, EAST ORANGE, NJ 07017-1905
(973) 672-8573
Mailing address
613 PARK AVE, EAST ORANGE, NJ 07017-1905
(973) 672-8573
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26NR22417000
NJ
163W00000X
Registered Nurse
836819-01
NY
363LF0000X
Family Nurse Practitioner
Primary
26NJ15381200
NJ
Other
Enumeration date
08/08/2025
Last updated
12/20/2025
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