Wendy Lynn Antell, LPN

Individual provider Active NPI Licensed Practical Nurse · Midland, MI

NPI 1497515407 · NPPES record last updated Mar 19, 2024

Key facts

NPI
1497515407
Entity type
Individual (NPI type 1)
Primary specialty
Licensed Practical Nurse 164W00000X
License
4703114052 (MI)
Practice address
4230 Bay City Rd
Midland, MI 48642-6014
Phone
(989) 839-0750
Fax
(989) 839-9037
NPI assigned
Mar 19, 2024
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

State licenses

LicenseStateTypeSpecialty
4703114052MIMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 4703114052 MI Yes

Addresses

Primary practice location

4230 Bay City Rd
Midland, MI 48642-6014

Mailing address

4230 Bay City Rd
Midland, MI 48642-6014
Phone (989) 839-0750

Other providers in Midland, MI

All providers in Midland, MI · Licensed Practical Nurse in Michigan

Sources for this page

Verify at the official NPI Registry.