Wendell, Lori Jane

Wendell, Lori Jane is an individual health care provider with primary practice located at 206 Chase Park , Hurricane WV 25526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Wendell, Lori Jane can be contacted via phone (304) 382-2080.

Contact Information

Primary practice address
206 Chase Park Hurricane WV 25526
Fax: (304) 404-2057
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 37430 West Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN37430 West Virginia

Profile Details

NPI number 1619283769
LBN Legal business name Wendell, Lori Jane
Credentials APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2010
Last updated Aug 30th, 2023 - about 2 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 1619283769 NPPES
West Virginia Other P01087432 MEDICARE RAILROAD
West Virginia MEDICAID 3810020023 MEDICARE RAILROAD

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