Basic Information
Provider Information
NPI: 1326151267
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SOBEY
FirstName: WENDY
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2333 ONTARIO RD NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200092627
CountryCode: US
TelephoneNumber: 2024207141
FaxNumber: 2023320541
Practice Location
Address1: 2333 ONTARIO RD NW
Address2:  
City: WASHINGTON
State: DC
PostalCode: 200092627
CountryCode: US
TelephoneNumber: 2024207141
FaxNumber: 2023320541
Other Information
ProviderEnumerationDate: 08/16/2006
LastUpdateDate: 03/13/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000XRN1003083DCN Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 
363LW0102XRN1003083DCY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health

No ID Information.


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