Brandeberry, Wendy Jean

Brandeberry, Wendy Jean is an sole proprietor health care provider with primary practice located at 580 Park Ave W , Mansfield OH 44906-3722. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Brandeberry, Wendy Jean can be contacted via phone (833) 510-4357.

Contact Information

Primary practice address
580 Park Ave W Mansfield OH 44906-3722
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X APRN.CNP.0035005 Ohio

Profile Details

NPI number 1033828389
LBN Legal business name Brandeberry, Wendy Jean
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 15th, 2022
Last updated Jan 3rd, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033828389 NPPES
Ohio MEDICAID 2910854

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