Provider Demographics
NPI:1356658520
Name:MATHEWS, WENDY SHAWN
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:SHAWN
Last Name:MATHEWS
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 1:2505 RAMBLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-1208
Mailing Address - Country:US
Mailing Address - Phone:302-275-7799
Mailing Address - Fax:
Practice Address - Street 1:2505 RAMBLEWOOD DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-1208
Practice Address - Country:US
Practice Address - Phone:302-275-7799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-08
Last Update Date:2010-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula