Provider Demographics
NPI:1235333865
Name:LOSSING, WENDY A (RN)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:A
Last Name:LOSSING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:A
Other - Last Name:SCHURMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:224 STANFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82007-2309
Mailing Address - Country:US
Mailing Address - Phone:307-287-1304
Mailing Address - Fax:
Practice Address - Street 1:224 STANFIELD AVE
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82007-2309
Practice Address - Country:US
Practice Address - Phone:307-287-1304
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY23672163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice