Provider Demographics
NPI:1972927515
Name:WENZEL, VICTORIA A
Entity Type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:A
Last Name:WENZEL
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 1:34041 STEVENS BLVD
Mailing Address - Street 2:
Mailing Address - City:EASTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44095-2905
Mailing Address - Country:US
Mailing Address - Phone:440-975-3683
Mailing Address - Fax:440-975-3671
Practice Address - Street 1:34041 STEVENS BLVD
Practice Address - Street 2:
Practice Address - City:EASTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44095-2905
Practice Address - Country:US
Practice Address - Phone:440-975-3683
Practice Address - Fax:440-975-3671
Is Sole Proprietor?:No
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN252404163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool