Provider Demographics
NPI:1871796102
Name:MCVAY, WENDY (ACNP)
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:
Last Name:MCVAY
Suffix:
Gender:F
Credentials:ACNP
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:
Other - Last Name:SHEWMAKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 MERCY DR
Mailing Address - Street 2:
Mailing Address - City:COUNCIL BLUFFS
Mailing Address - State:IA
Mailing Address - Zip Code:51503-3128
Mailing Address - Country:US
Mailing Address - Phone:712-328-5000
Mailing Address - Fax:712-328-5529
Practice Address - Street 1:800 MERCY DR
Practice Address - Street 2:
Practice Address - City:COUNCIL BLUFFS
Practice Address - State:IA
Practice Address - Zip Code:51503-3128
Practice Address - Country:US
Practice Address - Phone:712-328-5000
Practice Address - Fax:712-328-5529
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAL-120644363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care