Provider Demographics
NPI:1427184324
Name:WILHITE, WENDY KAY (RN, CNOR, RNFA)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:KAY
Last Name:WILHITE
Suffix:
Gender:F
Credentials:RN, CNOR, RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24655 SE SWEETWATER LN
Mailing Address - Street 2:
Mailing Address - City:EAGLE CREEK
Mailing Address - State:OR
Mailing Address - Zip Code:97022-9634
Mailing Address - Country:US
Mailing Address - Phone:503-637-4868
Mailing Address - Fax:
Practice Address - Street 1:24655 SE SWEETWATER LN
Practice Address - Street 2:
Practice Address - City:EAGLE CREEK
Practice Address - State:OR
Practice Address - Zip Code:97022-9634
Practice Address - Country:US
Practice Address - Phone:503-637-4868
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant