Wendy Lou Tully, R.N.

Individual provider Active NPI Registered Nurse · Olmsted Falls, OH

NPI 1003064379 · NPPES record last updated Aug 28, 2008

Key facts

NPI
1003064379
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN253682 (OH)
Practice address
27046 Oakwood Cir
Apt.201
Olmsted Falls, OH 44138-3136
Phone
(440) 235-1669
NPI assigned
Aug 28, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN253682OHMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN253682 OH Yes

Addresses

Primary practice location

27046 Oakwood Cir
Apt.201
Olmsted Falls, OH 44138-3136

Mailing address

27046 Oakwood Cir
Apt.201
Olmsted Falls, OH 44138-3136
Phone (440) 235-1669

Other providers in Olmsted Falls, OH

All providers in Olmsted Falls, OH · Registered Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.