Wenzke, Debra K

Wenzke, Debra K is an individual health care provider with primary practice located at 3400 Meijer Dr , Toledo OH 43617-1166. 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. Wenzke, Debra K can be contacted via phone (419) 843-1370.

Contact Information

Primary practice address
3400 Meijer Dr Toledo OH 43617-1166
Fax: (419) 843-1362
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X NP06047 Ohio

Profile Details

NPI number 1881683704
LBN Legal business name Wenzke, Debra K
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 14th, 2005
Last updated Sep 7th, 2012 - about 12 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 1881683704 NPPES
Ohio MEDICAID 2518565

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