Provider Demographics
NPI:1225406028
Name:SPEARMAN, WENDY MICHELE (RN)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:MICHELE
Last Name:SPEARMAN
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 1:2608 WATERLOO LN
Mailing Address - Street 2:
Mailing Address - City:MESQUITE
Mailing Address - State:TX
Mailing Address - Zip Code:75181-2518
Mailing Address - Country:US
Mailing Address - Phone:214-732-7374
Mailing Address - Fax:
Practice Address - Street 1:2608 WATERLOO LN
Practice Address - Street 2:
Practice Address - City:MESQUITE
Practice Address - State:TX
Practice Address - Zip Code:75181-2518
Practice Address - Country:US
Practice Address - Phone:214-732-7374
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-10
Last Update Date:2015-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX564767163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant