Root, Wendy
Root, Wendy is an individual health care provider with primary practice located at 2 Essex Center Dr , Peabody MA 01960-2902. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Root, Wendy can be contacted via phone (978) 977-4000.Contact Information
Primary practice address
2 Essex Center Dr
Peabody MA 01960-2902
Phone: (978) 977-4000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 102300 | Massachusetts |
Profile Details
| NPI number | 1518010776 |
|---|---|
| LBN Legal business name | Root, Wendy |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1518010776 | NPPES |
| Massachusetts | MEDICAID | 0356590 | |
| Massachusetts | Other | NP1352 | |
| Massachusetts | Other | N284 |
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