Provider Demographics
NPI:1447462585
Name:FUTRELL, WENDY H (SPECIAL INSTRUCTOR)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:H
Last Name:FUTRELL
Suffix:
Gender:F
Credentials:SPECIAL INSTRUCTOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9167 HIGHWAY 8
Mailing Address - Street 2:
Mailing Address - City:COLFAX
Mailing Address - State:LA
Mailing Address - Zip Code:71417-6059
Mailing Address - Country:US
Mailing Address - Phone:318-627-3272
Mailing Address - Fax:
Practice Address - Street 1:9167 HIGHWAY 8
Practice Address - Street 2:
Practice Address - City:COLFAX
Practice Address - State:LA
Practice Address - Zip Code:71417-6059
Practice Address - Country:US
Practice Address - Phone:318-627-3272
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist