Wendy Lee Farace, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN109775NP Issued in GA

Practice address

1061 Harmon Ave
Ft Stewart, GA 31314-5604

Phone

(912) 435-5902

Fax

(912) 435-5059

NPI assigned

Aug 30, 2005

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

Other names 1

• Miss Wendy Lee Brotko Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1801889449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FT STEWART",
            "state": "GA",
            "postal_code": "313145604",
            "telephone_number": "912-435-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 HARMON AVE",
            "city": "FT STEWART",
            "state": "GA",
            "postal_code": "313145604",
            "telephone_number": "912-435-5902",
            "fax_number": "912-435-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARACE",
        "first_name": "WENDY",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN109775NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WENDY",
            "last_name": "BROTKO",
            "middle_name": "LEE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cherie T Evors
• Colleen Ezzell, MD
• Alex Falb, O.D.
• Erin F. Fallis, CNM
• Melissa Fant
• Martha Farley, RN
• Gerry B Farmer, MD
• Samir Farra, MD
• John Edward Farrar, PH.D.
• Jerry Joseph Fasoldt, M.D.

• Nurse Practitioner in Ft Stewart, GA
• Providers in Ft Stewart, GA by specialty
• Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 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.