Provider Demographics
NPI:1588858955
Name:NACHREINER, WENDY A (RDH)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:A
Last Name:NACHREINER
Suffix:
Gender:F
Credentials:RDH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIT 26610
Mailing Address - Street 2:BAVARIA DENTAL ACTIVITY CREDENTIALS OFFICE
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09244
Mailing Address - Country:US
Mailing Address - Phone:49931-804-3933
Mailing Address - Fax:49931-804-2524
Practice Address - Street 1:UNIT 26610
Practice Address - Street 2:BAVARIA DENTAL ACTIVITY CREDENTIALS OFFICE
Practice Address - City:APO
Practice Address - State:AE
Practice Address - Zip Code:09244
Practice Address - Country:US
Practice Address - Phone:49931-804-3933
Practice Address - Fax:49931-804-2524
Is Sole Proprietor?:No
Enumeration Date:2007-08-29
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNH7434124Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes124Q00000XDental ProvidersDental Hygienist