Doctor Name: | DR. WENDY NUSS ZUBENKO |
NPI Number: | 1104887702 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D., M.S.N. |
License Number: | RN268273L |
Business Practice Address: | 150 W Pike St Suite 1 Canonsburg, PA - 153171329 |
Business Phone Number: | 8774858768 |
Business Fax Number: | 4122466505 |
Mailing Address: | 2498 Matterhorn Dr, WEXFORD |
State: | PA |
Postal Code: | 150907612 |
Phone Number: | 4122466530 |
Fax Number: | 4122466505 |
NPI Enumeration Date: | 03/31/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 364SP0808X |
License Number: | RN268273L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Clinical Nurse Specialist |
Taxonomy Specialization: | Psych/Mental Health |
Taxonomy Definition: |