| Doctor Name: | DAWN WENTLEY |
| NPI Number: | 1194048355 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CRNP |
| License Number: | SP010576 |
| Business Practice Address: | 1301 Carlisle St Natrona Heights, PA - 150651152 |
| Business Phone Number: | 7242267105 |
| Business Fax Number: | 7242267106 |
| Mailing Address: | 1301 Carlisle St, Suite Gr70 NATRONA HEIGHTS |
| State: | PA |
| Postal Code: | 150651152 |
| Phone Number: | 7242267105 |
| Fax Number: | 7242267106 |
| NPI Enumeration Date: | 03/02/2010 |
| NPI Last Update Date: | 07/22/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | SP010576 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |