Provider Demographics
NPI:1306714175
Name:WENTE, MAYA
Entity type:Individual
Prefix:
First Name:MAYA
Middle Name:
Last Name:WENTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17599 WHITNEY RD APT 420
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-2441
Mailing Address - Country:US
Mailing Address - Phone:330-441-6059
Mailing Address - Fax:
Practice Address - Street 1:17599 WHITNEY RD APT 420
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-2441
Practice Address - Country:US
Practice Address - Phone:330-441-6059
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-24
Last Update Date:2025-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6027136009233747A0650X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider