Provider Demographics
NPI:1801832944
Name:BROWN, WENDY WEINSTOCK (MD)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:WEINSTOCK
Last Name:BROWN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1728 GLEN ECHO RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2910
Mailing Address - Country:US
Mailing Address - Phone:615-327-5330
Mailing Address - Fax:
Practice Address - Street 1:VA TENN VALLEY HEALTHCARE SYSTEM
Practice Address - Street 2:1310 24TH AVENUE SOUTH
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37212
Practice Address - Country:US
Practice Address - Phone:615-327-5330
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOR8538207RN0300X
WI17617-020207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOA27766Medicare UPIN