Provider Demographics
NPI:1881299584
Name:MURNANE, WENDY ELIZABETH (RN)
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:ELIZABETH
Last Name:MURNANE
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 294
Mailing Address - Street 2:
Mailing Address - City:PORT KENT
Mailing Address - State:NY
Mailing Address - Zip Code:12975-0294
Mailing Address - Country:US
Mailing Address - Phone:518-593-3773
Mailing Address - Fax:
Practice Address - Street 1:95 MARYLAND RD
Practice Address - Street 2:
Practice Address - City:PLATTSBURGH
Practice Address - State:NY
Practice Address - Zip Code:12903-4200
Practice Address - Country:US
Practice Address - Phone:518-562-8045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-01
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY591452251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care