Provider Demographics
NPI:1295272557
Name:FLEMING, WENDY (RN-BSN)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:
Last Name:FLEMING
Suffix:
Gender:F
Credentials:RN-BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 618
Mailing Address - Street 2:DAVIS COUNTY HEALTH DEPARTMENT
Mailing Address - City:FARMINGTON
Mailing Address - State:UT
Mailing Address - Zip Code:84025-0618
Mailing Address - Country:US
Mailing Address - Phone:801-525-5000
Mailing Address - Fax:801-525-5151
Practice Address - Street 1:22 SO. STATE STREET
Practice Address - Street 2:DAVIS COUNTY HEALTH DEPT
Practice Address - City:CLEARFIELD
Practice Address - State:UT
Practice Address - Zip Code:84015
Practice Address - Country:US
Practice Address - Phone:801-525-5000
Practice Address - Fax:801-525-5151
Is Sole Proprietor?:No
Enumeration Date:2017-01-25
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT309685-3102163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse