Provider Demographics
NPI:1841730264
Name:WENDZEL, NENA (DO)
Entity type:Individual
Prefix:DR
First Name:NENA
Middle Name:
Last Name:WENDZEL
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5595 ZEAMER AVE
Mailing Address - Street 2:ANCHORAGE, AK
Mailing Address - City:APO
Mailing Address - State:AA
Mailing Address - Zip Code:99506
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5595 ZEAMER AVE
Practice Address - Street 2:ANCHORAGE, AK
Practice Address - City:APO
Practice Address - State:AA
Practice Address - Zip Code:99506
Practice Address - Country:US
Practice Address - Phone:907-580-6525
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-04
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
NY296384-01207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program