Provider Demographics
NPI:1003320086
Name:ORR, WENDY LANESSA (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:LANESSA
Last Name:ORR
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11407 DEPT#5839
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35246-0001
Mailing Address - Country:US
Mailing Address - Phone:256-381-6673
Mailing Address - Fax:256-381-8091
Practice Address - Street 1:1100 S JACKSON HWY STE 250
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:AL
Practice Address - Zip Code:35660-5774
Practice Address - Country:US
Practice Address - Phone:256-381-6673
Practice Address - Fax:256-381-8091
Is Sole Proprietor?:No
Enumeration Date:2017-11-28
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-093408363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily