Provider Demographics
NPI:1366677635
Name:GELFOND, WENDY FARRAR (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:FARRAR
Last Name:GELFOND
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:DIANNE
Other - Last Name:FARRAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:531 ASBURY CIRCLE
Mailing Address - Street 2:SUITE A340
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30322
Mailing Address - Country:US
Mailing Address - Phone:404-778-5975
Mailing Address - Fax:404-778-2630
Practice Address - Street 1:1364 CLIFTON ROAD NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30322
Practice Address - Country:US
Practice Address - Phone:404-778-5975
Practice Address - Fax:404-778-2630
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN177304163W00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse