Provider Demographics
NPI:1356476642
Name:NEWMAN, WENDY GAY (CNA)
Entity Type:Individual
Prefix:MISS
First Name:WENDY
Middle Name:GAY
Last Name:NEWMAN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4045 FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-6520
Mailing Address - Country:US
Mailing Address - Phone:775-842-9978
Mailing Address - Fax:
Practice Address - Street 1:4045 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-6520
Practice Address - Country:US
Practice Address - Phone:775-842-9978
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2008-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider
No376J00000XNursing Service Related ProvidersHomemaker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100503650Medicaid