Provider Demographics
NPI:1003125048
Name:WENZEL, LEIGH ANNE (CRNP)
Entity Type:Individual
Prefix:MISS
First Name:LEIGH
Middle Name:ANNE
Last Name:WENZEL
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:800 SAINT VINCENTS DR
Mailing Address - Street 2:SUITE 500
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-1620
Mailing Address - Country:US
Mailing Address - Phone:205-933-8334
Mailing Address - Fax:205-271-5681
Practice Address - Street 1:800 SAINT VINCENTS DR
Practice Address - Street 2:SUITE500
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205-1620
Practice Address - Country:US
Practice Address - Phone:205-933-8334
Practice Address - Fax:205-271-5681
Is Sole Proprietor?:No
Enumeration Date:2010-09-24
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-103919363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology