Provider Demographics
NPI:1912724790
Name:CHENG, WENDIE LOUISE
Entity type:Individual
Prefix:MS
First Name:WENDIE
Middle Name:LOUISE
Last Name:CHENG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12808 ASTOR AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44135-3714
Mailing Address - Country:US
Mailing Address - Phone:216-307-0338
Mailing Address - Fax:
Practice Address - Street 1:2545 ELYRIA AVE # UP
Practice Address - Street 2:
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44055-1342
Practice Address - Country:US
Practice Address - Phone:216-307-0338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-24
Last Update Date:2024-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide