Provider Demographics
NPI:1205013075
Name:FERRETTO, WENDY L (APN)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:L
Last Name:FERRETTO
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:645 N ARLINGTON AVE
Mailing Address - Street 2:#460
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-4505
Mailing Address - Country:US
Mailing Address - Phone:775-770-7403
Mailing Address - Fax:775-770-3683
Practice Address - Street 1:645 N ARLINGTON AVE
Practice Address - Street 2:#460
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-4505
Practice Address - Country:US
Practice Address - Phone:775-770-7403
Practice Address - Fax:775-770-3683
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2011-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV#APN 000975363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily