NPI Profile for JACQUELINE WENTZ in NEW HYDE PARK, NY.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Family |
363LF0000X | 50 | Nurse Practitioner | |
Medical-Surgical |
163WM0705X |
| NPI Number | 1245719897 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/13/2018 | |
| Last updated | 08/19/2018 - About 8 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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JACQUELINE WENTZ
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