Provider Demographics
NPI:1306022900
Name:FAUVER, WENDY M (RN, CCE)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:M
Last Name:FAUVER
Suffix:
Gender:F
Credentials:RN, CCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 N. VALLEY VEIW DRIVE
Mailing Address - Street 2:BOX 821
Mailing Address - City:CASTLE DALE
Mailing Address - State:UT
Mailing Address - Zip Code:84513
Mailing Address - Country:US
Mailing Address - Phone:435-381-5145
Mailing Address - Fax:
Practice Address - Street 1:300 N HOSPITAL DR
Practice Address - Street 2:CASTLE VIEW HOSPITAL
Practice Address - City:PRICE
Practice Address - State:UT
Practice Address - Zip Code:84501-4218
Practice Address - Country:US
Practice Address - Phone:435-637-4800
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-14
Last Update Date:2008-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT323280-3102163WX0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0002XNursing Service ProvidersRegistered NurseObstetric, High-Risk