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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447255526 NPPES
Arkansas MEDICAID 218849758
Arkansas MEDICAID Q022757
Arkansas MEDICAID 09983751
Arkansas MEDICAID 144725526
Arkansas MEDICAID 003182013A

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