Wendy C. Fennelly is a Medical in Providence, Rhode Island. Wendy C. Fennelly practices all healthcare services and medical treatments related to Medical. The NPI Number for Wendy C. Fennelly is 1336347491. The last update date is 2008-06-13.
Wendy C. Fennelly's current location address is 345 Blackstone Blvd, Providence, Rhode Island. You can contact this provider via phone number 4014556200 and fax number 4014556404. The mailing address for Wendy C. Fennelly is 345 Blackstone Blvd, Providence, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wendy C. Fennelly |
|---|---|
| Address | 345 Blackstone Blvd, Providence, Rhode Island |
| Phone Number | 4014556200 |
| Fax Number | 4014556404 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1336347491 |
|---|---|
| Provider Enumeration Date | 2007-07-10 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 345 Blackstone Blvd |
|---|---|
| City | Providence |
| State | Rhode Island (RI) |
| Post Code | 29064800 |
| Phone Number | 4014556200 |
| Fax Number | 4014556404 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 64 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 33164-7 | RI | BCBS | |
| 414051 | RI | BLUECHIP | |
| WF68506 | RI | -- |
Post Comment/ Review Below
What is the Wendy C. Fennelly's 1336347491?
The Wendy C. Fennelly's NPI (National Provider Identifier) Number is 1336347491. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Wendy C. Fennelly's facilities are situated?
The facilities of Wendy C. Fennelly are physically located at the following address: 345 Blackstone Blvd, Providence, RI, 29064800.
What is Wendy C. Fennelly's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wendy C. Fennelly's area of specialization is Medical, and the corresponding taxonomy code that categorizes this field of practice is 363Am0700X.
On what date was the 1336347491 assigned to Wendy C. Fennelly?
The Wendy C. Fennelly was issued its 1336347491 on 2007-07-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Wendy C. Fennelly most recently updated?
The details pertaining to the Wendy C. Fennelly, including its address, specialty, and other relevant information, were last refreshed on 2008-06-13.