Dusenbury, Wendy L
Dusenbury, Wendy L is an individual health care provider with primary practice located at 1325 Eastmoreland Ave Suite 220, Memphis TN 38104-3519. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Dusenbury, Wendy L can be contacted via phone (901) 448-5227.Contact Information
Primary practice address
1325 Eastmoreland Ave Suite 220
Memphis TN 38104-3519
Phone: (901) 448-5227
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 21046 | Tennessee |
Profile Details
| NPI number | 1447255526 |
|---|---|
| LBN Legal business name | Dusenbury, Wendy L |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2005 |
| Last updated | Oct 8th, 2018 - about 8 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1447255526 | NPPES |
| Arkansas | MEDICAID | 218849758 | |
| Arkansas | MEDICAID | Q022757 | |
| Arkansas | MEDICAID | 09983751 | |
| Arkansas | MEDICAID | 144725526 | |
| Arkansas | MEDICAID | 003182013A |
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