Provider Demographics
NPI:1417581463
Name:LEDGER, WENDY KAY (FNP-C)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:KAY
Last Name:LEDGER
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88550 MAPLE RD
Mailing Address - Street 2:
Mailing Address - City:JEWETT
Mailing Address - State:OH
Mailing Address - Zip Code:43986-8772
Mailing Address - Country:US
Mailing Address - Phone:740-945-2003
Mailing Address - Fax:
Practice Address - Street 1:659 BOULEVARD ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:OH
Practice Address - Zip Code:44622-2026
Practice Address - Country:US
Practice Address - Phone:330-343-3311
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-28
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.026400363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily