Provider Demographics
NPI:1013690114
Name:STUART, WENDY MARIE (MA)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:MARIE
Last Name:STUART
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:MARIE
Other - Last Name:ANDERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:475 CAYUSE LN UNIT C
Mailing Address - Street 2:
Mailing Address - City:KALISPELL
Mailing Address - State:MT
Mailing Address - Zip Code:59901-8884
Mailing Address - Country:US
Mailing Address - Phone:406-261-3724
Mailing Address - Fax:
Practice Address - Street 1:475 CAYUSE LN UNIT C
Practice Address - Street 2:
Practice Address - City:KALISPELL
Practice Address - State:MT
Practice Address - Zip Code:59901-8884
Practice Address - Country:US
Practice Address - Phone:406-261-3724
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No251B00000XAgenciesCase Management