Provider Demographics
NPI:1457803264
Name:WENGER, LINDA (CNM)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:WENGER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:WENGER
Other - Last Name:BARRICK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1022 ROCKINGHAM DR
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-5654
Mailing Address - Country:US
Mailing Address - Phone:540-975-1956
Mailing Address - Fax:
Practice Address - Street 1:5819 N FM 88
Practice Address - Street 2:
Practice Address - City:WESLACO
Practice Address - State:TX
Practice Address - Zip Code:78599-3275
Practice Address - Country:US
Practice Address - Phone:956-969-2538
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP131853367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife