Provider Demographics
NPI:1427558741
Name:BEGERT, WENDY LEIGH
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:LEIGH
Last Name:BEGERT
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 1:820 WALNUT RD SE
Mailing Address - Street 2:
Mailing Address - City:MASSILLON
Mailing Address - State:OH
Mailing Address - Zip Code:44646-8243
Mailing Address - Country:US
Mailing Address - Phone:330-786-8255
Mailing Address - Fax:
Practice Address - Street 1:820 WALNUT RD SE
Practice Address - Street 2:
Practice Address - City:MASSILLON
Practice Address - State:OH
Practice Address - Zip Code:44646-8243
Practice Address - Country:US
Practice Address - Phone:330-786-8255
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-13
Last Update Date:2018-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide