Active NPI
Linda M Wenzel, GNP
- Gerontology Nurse Practitioner
- Edina, MN
National Provider Identifier
1497724603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- R0703116
- Practice address
- 3400 W 66TH St
Suite 400
Edina, MN 55435-2111 - Phone
- (952) 836-3637
- NPI assigned
- Mar 17, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | R0703116 | MN | Primary |
Addresses
Primary practice location
3400 W 66TH St
Suite 400
Edina, MN 55435-2111
Mailing address
3400 W 66TH St
Suite 400
Edina, MN 55435-2111
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210550400000",
"number": "1497724603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 W 66TH ST",
"address_2": "SUITE 400",
"city": "EDINA",
"state": "MN",
"postal_code": "554352111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3400 W 66TH ST",
"address_2": "SUITE 400",
"city": "EDINA",
"state": "MN",
"postal_code": "554352111",
"telephone_number": "952-836-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENZEL",
"first_name": "LINDA",
"middle_name": "M",
"credential": "GNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-17",
"last_updated": "2008-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MN",
"license": "R0703116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edina, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.