Wendy Lorraine Waasdorp, RN,BSN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

407646 Issued in NY

Practice address

439 W Maple Ave
Newark, NY 14513-2062

Phone

(315) 332-3328

NPI assigned

Sep 15, 2011

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing, Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1720360894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "159 WASHINGTON ST",
            "city": "PALMYRA",
            "state": "NY",
            "postal_code": "145221221",
            "telephone_number": "315-502-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 W MAPLE AVE",
            "city": "NEWARK",
            "state": "NY",
            "postal_code": "145132062",
            "telephone_number": "315-332-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAASDORP",
        "first_name": "WENDY",
        "middle_name": "LORRAINE",
        "credential": "RN,BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "407646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Vasquez
• Matthew James Verbridge
• David Verdine, PHARMD
• Thomas B Verme, MD
• Vicki J. Miller-Savard & Carrie Z. O'Neill
• Wal-Mart Stores East LP
• Walgreen Co
• Walgreen Co
• Allan R Walker, MD
• Emily Walters, OTR/L

• Registered Nurse in Newark, NY
• Providers in Newark, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.