Provider Demographics
NPI:1891562542
Name:PARKER-OLDING, WENDY
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:PARKER-OLDING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 FOX RD
Mailing Address - Street 2:
Mailing Address - City:FORT RECOVERY
Mailing Address - State:OH
Mailing Address - Zip Code:45846-9216
Mailing Address - Country:US
Mailing Address - Phone:419-852-6366
Mailing Address - Fax:
Practice Address - Street 1:411 FOX RD
Practice Address - Street 2:
Practice Address - City:FORT RECOVERY
Practice Address - State:OH
Practice Address - Zip Code:45846-9216
Practice Address - Country:US
Practice Address - Phone:419-852-6366
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide