Teresa Ann Wenner
Registered Nurse, Nurse Massage Therapist (NMT) in Shepherdstown, WV. Individual provider (NPI-1).
NPI number1871278747
StatusActive
Last updated in NPPESJun 19, 2023
Details
- NPI
- 1871278747
- Entity type
- Individual (NPI-1)
- Name
- Teresa Ann Wenner
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 19, 2023
- Certification date
- Jun 19, 2023
- Last updated
- Jun 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WM1400X | Registered Nurse, Nurse Massage Therapist (NMT) | 53092 | WV | Yes |
| 225700000X | Massage Therapist | 223-4023 | WV | |
| 225700000X | Massage Therapist | 0019019311 | VA | |
| 163WM1400X | Registered Nurse, Nurse Massage Therapist (NMT) | 0001149304 | VA | |
| 163WW0101X | Registered Nurse, Women's Health Care, Ambulatory | 53092 | WV |
Practice location
217 S Duke St Ste 104Shepherdstown, WV 25443-4849
Phone 304-362-3009
Mailing address
158 Heath CtCharles Town, WV 25414-4137
Phone 130-427-9639
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