Provider Demographics
NPI:1407301617
Name:FELDER, WENDY LANA
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:LANA
Last Name:FELDER
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 1:2085 TUDOR ST
Mailing Address - Street 2:
Mailing Address - City:SUMTER
Mailing Address - State:SC
Mailing Address - Zip Code:29150-2479
Mailing Address - Country:US
Mailing Address - Phone:803-236-3603
Mailing Address - Fax:
Practice Address - Street 1:2085 TUDOR ST
Practice Address - Street 2:
Practice Address - City:SUMTER
Practice Address - State:SC
Practice Address - Zip Code:29150-2479
Practice Address - Country:US
Practice Address - Phone:803-236-3603
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-17
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide