Provider Demographics
NPI:1568574606
Name:HOPKINS, WENDY LEE (PHYSICIAN ASSISTANT)
Entity Type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:LEE
Last Name:HOPKINS
Suffix:
Gender:F
Credentials:PHYSICIAN ASSISTANT
Other - Prefix:
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Mailing Address - Street 1:2 CORTE VIERNES SOUTH
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:NM
Mailing Address - Zip Code:87015
Mailing Address - Country:US
Mailing Address - Phone:505-803-2871
Mailing Address - Fax:
Practice Address - Street 1:1508 SAN PEDRO SE
Practice Address - Street 2:
Practice Address - City:ABQ
Practice Address - State:NM
Practice Address - Zip Code:87108
Practice Address - Country:US
Practice Address - Phone:505-265-1711
Practice Address - Fax:740-772-7061
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2023-12-12
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH1484363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical