Provider Demographics
NPI:1134549496
Name:OHME, WENDY
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:OHME
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 1:13510 N BRUCE RD
Mailing Address - Street 2:PO BOX 1089
Mailing Address - City:MEAD
Mailing Address - State:WA
Mailing Address - Zip Code:99021-9764
Mailing Address - Country:US
Mailing Address - Phone:509-993-3228
Mailing Address - Fax:
Practice Address - Street 1:13510 N BRUCE RD
Practice Address - Street 2:
Practice Address - City:MEAD
Practice Address - State:WA
Practice Address - Zip Code:99021-9764
Practice Address - Country:US
Practice Address - Phone:509-993-3228
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-24
Last Update Date:2014-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60441929163WP2201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP2201XNursing Service ProvidersRegistered NurseAmbulatory Care