| Doctor Name: | MISS LEIGH ANNE WENZEL |
| NPI Number: | 1003125048 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | 1-103919 |
| Business Practice Address: | 800 Saint Vincents Dr Suite500 Birmingham, AL - 352051620 |
| Business Phone Number: | 2059338334 |
| Business Fax Number: | 2052715681 |
| Mailing Address: | 800 Saint Vincents Dr, Suite 500 BIRMINGHAM |
| State: | AL |
| Postal Code: | 352051620 |
| Phone Number: | 2059338334 |
| Fax Number: | 2052715681 |
| NPI Enumeration Date: | 09/24/2010 |
| NPI Last Update Date: | 09/10/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LX0001X |
| License Number: | 1-103919 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Obstetrics & Gynecology |
| Taxonomy Definition: | |