Provider Demographics
NPI:1871357152
Name:HERRING, WENDY MURRAY
Entity type:Individual
Prefix:
First Name:WENDY
Middle Name:MURRAY
Last Name:HERRING
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 1:1749 NEW SAVANNAH RD
Mailing Address - Street 2:
Mailing Address - City:BURGAW
Mailing Address - State:NC
Mailing Address - Zip Code:28425-4175
Mailing Address - Country:US
Mailing Address - Phone:910-604-0512
Mailing Address - Fax:
Practice Address - Street 1:906 PENDERLEA HWY
Practice Address - Street 2:
Practice Address - City:BURGAW
Practice Address - State:NC
Practice Address - Zip Code:28425-4545
Practice Address - Country:US
Practice Address - Phone:910-663-3179
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC210363163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice