Provider Demographics
NPI:1467867424
Name:DAVIES, WENDI R (APRN)
Entity Type:Individual
Prefix:
First Name:WENDI
Middle Name:R
Last Name:DAVIES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 S CLAIRBORNE RD
Mailing Address - Street 2:SUITE 104
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1857
Mailing Address - Country:US
Mailing Address - Phone:913-648-2266
Mailing Address - Fax:913-393-9934
Practice Address - Street 1:407 S CLAIRBORNE RD
Practice Address - Street 2:SUITE 104
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66062-1857
Practice Address - Country:US
Practice Address - Phone:913-648-2266
Practice Address - Fax:913-393-9934
Is Sole Proprietor?:No
Enumeration Date:2014-06-27
Last Update Date:2014-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS53-76361-081363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily