WENDY WAMBAUGH VANVALKENBURG R.N. NPI 1518161058

NPI Information

NPI: 1518161058
Provider Name: WENDY WAMBAUGH VANVALKENBURG, R.N.
Classification: Massage Therapist - 225700000X
Entity Type: Individual
Address:
21812 WOODLAND RD
HOUGHTON, MI
ZIP 49931
Phone: (906) 523-2448
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Wendy Wambaugh Vanvalkenburg, R.N. is a massage therapist in Houghton, MI. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. Wendy Wambaugh Vanvalkenburg, R.N. NPI is 1518161058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21812 WOODLAND RD
HOUGHTON, MI
ZIP 49931-003
Phone: (906) 523-2448

The enumeration date for this NPI number is 6/11/2007 and was last updated on 1/31/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		569856-1	NEW YORK	No
2	225700000X	Massage Therapist				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02782401	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK	PRIVATE PROVIDER
2	NPI#1518161058	OTHER	MICHIGAN	MESSA, BLUE CROSS BLUE SHIELD OF MICHIGNA
3	NPI#1518161058	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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