| Doctor Name: | DR. NINA ELAINE WENDT |
| NPI Number: | 1407970932 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 311 |
| Business Practice Address: | 145 S Santa Claus Ln Unit 2 North Pole, AK - 997057702 |
| Business Phone Number: | 9074888848 |
| Business Fax Number: | 9074880695 |
| Mailing Address: | 145 S Santa Claus Ln, Unit 2 NORTH POLE |
| State: | AK |
| Postal Code: | 997057702 |
| Phone Number: | 9074888848 |
| Fax Number: | 9074880695 |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 06/18/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 311 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |