Provider Demographics
NPI:1548025729
Name:AKOH-BREFO, WENDY (NP)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:
Last Name:AKOH-BREFO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:MISS
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:AKOH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:44 SERGEANTSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-1584
Mailing Address - Country:US
Mailing Address - Phone:732-491-5336
Mailing Address - Fax:
Practice Address - Street 1:485C US HIGHWAY 1 S STE 100-101
Practice Address - Street 2:
Practice Address - City:ISELIN
Practice Address - State:NJ
Practice Address - Zip Code:08830-3037
Practice Address - Country:US
Practice Address - Phone:732-447-9470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-16
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY744313-01163W00000X
NJ26NJ15309500363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty
No163W00000XNursing Service ProvidersRegistered Nurse