Provider Demographics
NPI:1881336535
Name:MIANO, WENDY ROWEHL (AGPNP-BC)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:ROWEHL
Last Name:MIANO
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Gender:F
Credentials:AGPNP-BC
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Mailing Address - Street 1:17876 SAINT CLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44110-2602
Mailing Address - Country:US
Mailing Address - Phone:216-486-6512
Mailing Address - Fax:216-298-0310
Practice Address - Street 1:HOSPICE OF THE WESTERN RESERVE WRN PROGRAM
Practice Address - Street 2:17876 ST. CLAIR AVENUE
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44110
Practice Address - Country:US
Practice Address - Phone:216-486-6512
Practice Address - Fax:216-298-0310
Is Sole Proprietor?:No
Enumeration Date:2022-04-12
Last Update Date:2022-05-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH0031053363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology