Provider Demographics
NPI:1891374633
Name:BAIERL, WENDY CECILIA (RN)
Entity Type:Individual
Prefix:MS
First Name:WENDY
Middle Name:CECILIA
Last Name:BAIERL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:701 N CARMICHAEL AVE
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-1160
Mailing Address - Country:US
Mailing Address - Phone:520-266-9813
Mailing Address - Fax:
Practice Address - Street 1:701 N CARMICHAEL AVE
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635-1160
Practice Address - Country:US
Practice Address - Phone:520-515-2956
Practice Address - Fax:520-515-2951
Is Sole Proprietor?:No
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN200910163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse