Wendy J Habermehl, RN

Individual provider Active NPI School Registered Nurse · North Collins, NY

NPI 1063781458 · NPPES record last updated Dec 14, 2011

Key facts

NPI
1063781458
Entity type
Individual (NPI type 1)
Primary specialty
School Registered Nurse 163WS0200X
License
311420 (NY)
Practice address
10469 Bantle Rd
North Collins, NY 14111-9781
Phone
(716) 337-0166
Fax
(716) 337-0598
NPI assigned
Dec 14, 2011
Sex
Female
Sole proprietor
No

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
311420NYMDSchool Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 311420 NY Yes

Addresses

Primary practice location

10469 Bantle Rd
North Collins, NY 14111-9781

Mailing address

10469 Bantle Rd
North Collins, NY 14111-9781
Phone (716) 337-0166

Other providers in North Collins, NY

All providers in North Collins, NY · School Registered Nurse in New York

Sources for this page

Verify at the official NPI Registry.