Provider Demographics
NPI:1114803236
Name:PATIN, WENDY S
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:S
Last Name:PATIN
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:WENDY
Other - Middle Name:S
Other - Last Name:PATIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:NP
Mailing Address - Street 1:PO BOX 672
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70589-0672
Mailing Address - Country:US
Mailing Address - Phone:337-323-8881
Mailing Address - Fax:
Practice Address - Street 1:804 E LASALLE ST
Practice Address - Street 2:
Practice Address - City:VILLE PLATTE
Practice Address - State:LA
Practice Address - Zip Code:70586-4000
Practice Address - Country:US
Practice Address - Phone:337-317-8781
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA242643363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily