Doctor Name: | WENDY LOU MADDUX |
NPI Number: | 1023346004 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | RN25056 |
Business Practice Address: | 408 Wendell Ave Lewistown, MT - 594572261 |
Business Phone Number: | 4065356302 |
Business Fax Number: | 4065356306 |
Mailing Address: | 84660 Us Highway 87, LEWISTOWN |
State: | MT |
Postal Code: | 594572069 |
Phone Number: | 4065354913 |
Fax Number: | |
NPI Enumeration Date: | 12/02/2009 |
NPI Last Update Date: | 12/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WW0000X |
License Number: | RN25056 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MT |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Wound Care |
Taxonomy Definition: |