Provider Demographics
NPI:1972495562
Name:LIEBMANN, WENDI
Entity type:Individual
Prefix:
First Name:WENDI
Middle Name:
Last Name:LIEBMANN
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 1:2441 MAYLO PATH
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44312-5562
Mailing Address - Country:US
Mailing Address - Phone:330-945-0672
Mailing Address - Fax:330-945-0672
Practice Address - Street 1:2441 MAYLO PATH
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44312-5562
Practice Address - Country:US
Practice Address - Phone:330-945-0672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-17
Last Update Date:2025-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker