Provider Demographics
NPI:1841370848
Name:SHULMAN, WENDY S (NP)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:S
Last Name:SHULMAN
Suffix:
Gender:F
Credentials:NP
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Mailing Address - Street 1:5659 PARKWAY DR
Mailing Address - Street 2:STE 210
Mailing Address - City:GLOUCESTER
Mailing Address - State:VA
Mailing Address - Zip Code:23061-3792
Mailing Address - Country:US
Mailing Address - Phone:804-210-1025
Mailing Address - Fax:804-210-1029
Practice Address - Street 1:5659 PARKWAY DR
Practice Address - Street 2:STE 210
Practice Address - City:GLOUCESTER
Practice Address - State:VA
Practice Address - Zip Code:23061-3792
Practice Address - Country:US
Practice Address - Phone:804-210-1025
Practice Address - Fax:804-210-1029
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2014-02-19
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Provider Licenses
StateLicense IDTaxonomies
VA0024100838363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner