Provider Demographics
NPI:1013452291
Name:MCGEE, WENDY
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:MCGEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:LYNN
Other - Last Name:GRAHAM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 35
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84643-0035
Mailing Address - Country:US
Mailing Address - Phone:435-287-8755
Mailing Address - Fax:
Practice Address - Street 1:192 E CENTER ST
Practice Address - Street 2:
Practice Address - City:RICHFIELD
Practice Address - State:UT
Practice Address - Zip Code:84701-2626
Practice Address - Country:US
Practice Address - Phone:435-287-8755
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-27
Last Update Date:2016-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker
No372500000XNursing Service Related ProvidersChore Provider
No372600000XNursing Service Related ProvidersAdult Companion