Provider Demographics
NPI:1083686620
Name:BROWN-PERRY, WENDY (CPNP)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:BROWN-PERRY
Suffix:
Gender:F
Credentials:CPNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:248 PLEASANT ST STE 1700
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-7544
Mailing Address - Country:US
Mailing Address - Phone:603-224-1929
Mailing Address - Fax:
Practice Address - Street 1:248 PLEASANT ST STE 1700
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-7544
Practice Address - Country:US
Practice Address - Phone:603-224-1929
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-07
Last Update Date:2019-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH047008-21163WP0200X
MA195062363LP0200X
NH047008-23363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics