Provider Demographics
NPI:1467763045
Name:CHOUTEAU, WENDY A (RN, CNP)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:A
Last Name:CHOUTEAU
Suffix:
Gender:F
Credentials:RN, CNP
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:A
Other - Last Name:BOMMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, CNP
Mailing Address - Street 1:3333 BURNET AVE., ML 5021
Mailing Address - Street 2:CINCINNATI CHILDREN'S HOSPITAL
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229
Mailing Address - Country:US
Mailing Address - Phone:513-636-4225
Mailing Address - Fax:513-636-2511
Practice Address - Street 1:3333 BURNET AVE., ML 11006
Practice Address - Street 2:CINCINNATI CHILDREN'S HOSPITAL
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45229-3026
Practice Address - Country:US
Practice Address - Phone:513-636-4991
Practice Address - Fax:513-636-3980
Is Sole Proprietor?:No
Enumeration Date:2010-06-29
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA.11803-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily