National Provider Identifier

Wendy Lorraine Waasdorp, RN, BSN

Wendy Lorraine Waasdorp, RN, BSN is listed in the NPPES registry with a primary specialty of Registered Nurse in Newark, NY and a listed phone number of (315) 332-3328.

NPI 1720360894Newark, NYRegistered Nurse

Profile Overview

NPI
1720360894
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
September 15, 2011
Last Updated
September 15, 2011

Practice Location

  • 439 W Maple Ave
  • Newark, NY 14513-2062

Phone: (315) 332-3328

Mailing Address

  • 159 Washington St
  • Palmyra, NY 14522-1221

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1720360894
Entity Type
Individual
Last Name
Waasdorp
First Name
Wendy
Middle Name
Lorraine
Credential
RN, BSN
Mailing Street Address
159 Washington St
Mailing City
Palmyra
Mailing State
NY
Mailing ZIP Code
14522-1221
Mailing Country
US
Mailing Phone
(315) 502-4367
Practice Street Address
439 W Maple Ave
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-2062
Practice Country
US
Practice Phone
(315) 332-3328
Enumeration Date
September 15, 2011
Last Updated
September 15, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)