Provider Demographics
NPI:1366296790
Name:ZANDERS, WENDYANN
Entity type:Individual
Prefix:
First Name:WENDYANN
Middle Name:
Last Name:ZANDERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1971 S 241ST DR
Mailing Address - Street 2:
Mailing Address - City:BUCKEYE
Mailing Address - State:AZ
Mailing Address - Zip Code:85326-0216
Mailing Address - Country:US
Mailing Address - Phone:301-366-7838
Mailing Address - Fax:
Practice Address - Street 1:1971 S 241ST DR
Practice Address - Street 2:
Practice Address - City:BUCKEYE
Practice Address - State:AZ
Practice Address - Zip Code:85326-0216
Practice Address - Country:US
Practice Address - Phone:301-366-7838
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-12
Last Update Date:2024-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider
No171W00000XOther Service ProvidersContractor
No372600000XNursing Service Related ProvidersAdult Companion
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No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant
No374U00000XNursing Service Related ProvidersHome Health Aide
No376J00000XNursing Service Related ProvidersHomemaker