Individual
MINDY E WENGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
2700 WESTSIDE DR NW STE 103, CLEVELAND, TN 37312-3699
(423) 472-1511
(423) 479-9202
Mailing address
2700 WESTSIDE DR NW STE 103, CLEVELAND, TN 37312-3699
(423) 472-1511
(423) 479-9202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN274947
OH
363LA2100X
Acute Care Nurse Practitioner
Primary
NP06985
OH
Other
Enumeration date
10/17/2006
Last updated
10/06/2020
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