Provider Demographics
NPI:1669787461
Name:CHRISTY, WENDY LEE (CNP)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:LEE
Last Name:CHRISTY
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8240 NORTHCREEK DR STE 1400
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2379
Mailing Address - Country:US
Mailing Address - Phone:513-792-4700
Mailing Address - Fax:513-346-1396
Practice Address - Street 1:8240 NORTHCREEK DR STE 1400
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2379
Practice Address - Country:US
Practice Address - Phone:513-792-4700
Practice Address - Fax:513-346-1396
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2019-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.285233163W00000X
OHNP11628363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse