Provider Demographics
NPI:1619224342
Name:OUTERBRIDGE, WENDY EUNICE (MD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:EUNICE
Last Name:OUTERBRIDGE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 ZUILL'S PARK DRIVE
Mailing Address - Street 2:
Mailing Address - City:SMITH'S
Mailing Address - State:SMITH'S
Mailing Address - Zip Code:FL06
Mailing Address - Country:BM
Mailing Address - Phone:441-336-2968
Mailing Address - Fax:
Practice Address - Street 1:44 POINT FINGER ROAD
Practice Address - Street 2:
Practice Address - City:PAGET
Practice Address - State:PAGET
Practice Address - Zip Code:DV04
Practice Address - Country:BM
Practice Address - Phone:441-296-7296
Practice Address - Fax:441-296-7287
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-13
Last Update Date:2012-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program