Wenk, Nancy Marie
Wenk, Nancy Marie is an sole proprietor health care provider with primary practice located at 317 Riveredge Blvd Suite 104, Cocoa FL 32922-7988. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Wenk, Nancy Marie can be contacted via phone (321) 264-1105.Contact Information
Primary practice address
317 Riveredge Blvd Suite 104
Cocoa FL 32922-7988
Phone: (321) 264-1105
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY 4765 | Florida |
Profile Details
| NPI number | 1558428219 |
|---|---|
| LBN Legal business name | Wenk, Nancy Marie |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1558428219 | NPPES |
| Florida | Other | 73996 | BLUE CROSS BLUE SHIELD |
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