Provider Demographics
NPI:1043592876
Name:GIFFORD, WENDY WRAIGHT (RN)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:WRAIGHT
Last Name:GIFFORD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 ACADEMY ST
Mailing Address - Street 2:
Mailing Address - City:PRATTSBURGH
Mailing Address - State:NY
Mailing Address - Zip Code:14873-9200
Mailing Address - Country:US
Mailing Address - Phone:607-522-3795
Mailing Address - Fax:607-522-6230
Practice Address - Street 1:1 ACADEMY ST
Practice Address - Street 2:
Practice Address - City:PRATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:14873-9200
Practice Address - Country:US
Practice Address - Phone:607-522-3795
Practice Address - Fax:607-522-6230
Is Sole Proprietor?:No
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY311915-1163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool