Provider Demographics
NPI:1811738438
Name:BANKS, WENDY MARIA
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:MARIA
Last Name:BANKS
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:WENDY
Other - Middle Name:MARIA
Other - Last Name:HARRIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5544 CONN HOUSE DR
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-7828
Mailing Address - Country:US
Mailing Address - Phone:614-680-2601
Mailing Address - Fax:
Practice Address - Street 1:5544 CONN HOUSE DR
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-7828
Practice Address - Country:US
Practice Address - Phone:614-680-2601
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker