Individual
AMY HUNT WENZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
8243 MEADOWBRIDGE RD, MECHANICSVILLE, VA 23116-2329
(804) 730-1481
(804) 730-8464
Mailing address
8243 MEADOWBRIDGE RD, MECHANICSVILLE, VA 23116-2329
(804) 730-1481
(804) 730-8464
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
0017137866
VA
363LA2200X
Adult Health Nurse Practitioner
Primary
0024165179
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C06115
GROUP PTAN
VA
Enumeration date
02/20/2007
Last updated
10/07/2011
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