WENDY PREWETT


Address: 2737 S Broadway Ave, Tyler, TX 75701-5413
Phone: 9035926000

WENDY PREWETT (NPI# 1134633266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1134633266
Entity Type Individual
Full Name WENDY PREWETT
Practice Address 2737 S Broadway Ave
Tyler
TX 75701-5413
Mailing Address Po Box 6605
Tyler
TX 75711-6605
Practice Telephone 9035926000
Practice Fax Number 9035923224
Mailing Telephone 9035926000
Enumeration Date 2017-11-28
Last Update Date 2017-11-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2100X Nurse Practitioner
Specialization: Acute Care
AP135677 TX Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 2737 S BROADWAY AVE
City TYLER
State TX
Zip Code 75701-5413

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629071527 Mark A Hackbarth Anesthesiology 2737 S Broadway Ave, Tyler, TX 75701 2005-05-24
1194216994 Leslie Karen Partlow Nurse Practitioner 2737 S Broadway Ave, Tyler, TX 75701-5413 2018-05-29
1871044115 Travis Squyres Nurse Practitioner 2737 S Broadway Ave, Tyler, TX 75701 2016-10-21
1881076891 Preston Harmon Emergency Medicine 2737 S Broadway Ave, Tyler, TX 75701-5413 2015-06-25
1427447580 Ruben Benjamin Delarosa Physician Assistant 2737 S Broadway Ave, Tyler, TX 75701 2015-01-13
1346670726 Charles R Gordon Md Pa Pharmacy 2737 S Broadway Ave, Tyler, TX 75701-5413 2013-11-20
1437581055 Edward Lee Poe Counselor 2737 S Broadway Ave, Suite 206, Tyler, TX 75701-5413 2013-08-06
1265670749 Ellisiv Lien Physical Medicine & Rehabilitation 2737 S Broadway Ave, Tyler, TX 75701-5413 2009-01-22
1023276466 James Alan Muns Neurological Surgery 2737 S Broadway Ave, Tyler, TX 75701-5413 2008-05-31
1831373042 Andy Juney Redmond Neurological Surgery 2737 S Broadway Ave, Tyler, TX 75701-5413 2007-12-24
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1962057059 Gonzalo Fernandez Physical Therapy Assistant 753 S Beckham Ave, Tyler, TX 75701 2019-08-06
1215422654 Adrianna Bussell Nurse Practitioner 1000 South Beckham, Tyler, TX 75701 2018-06-28
1285128017 Idowu Akintokunbo Akinyele Dentist Aspen Dental, 4164 S Broadway Ave, Tyler, TX 75701 2018-06-15
1992208912 Heather Renee Vancleave Occupational Therapy Assistant 1228 Louann Lane, Tyler, TX 75701 2018-03-15
1497260533 Smile Workshop Mckinney, Pllc Dentist 301 N. Custer Rd, Mckinney, TX 75701 2017-12-12
1396266441 Eye Surgery Center of East Texas, Pllc Clinic/Center 2448 E 5th St, Tyler, TX 75701 2017-06-29
1962936369 Collins Complete Family Care Nurse Practitioner 1910 E Se Loop 323 # 176, Tyler, TX 75701 2017-04-12
1386187052 Fellowship Health Team LLC Home Health 1124 S Fleishel Ave, Tyler, TX 75701 2016-11-29
1205382454 Brenton Robinson Nurse Practitioner 1100 East Lake St, 160, Tyler, TX 75701 2016-08-28
1851846208 Care First Pharmacy, LLC Pharmacy 1910 Roseland Blvd A, Tyler, TX 75701 2016-08-15
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568071116 Carie Elise Bodnar Nurse Practitioner 910 E Houston St Ste 500, Tyler, TX 75702-8365 2020-07-29
1821461070 Matthew Applegate Nurse Practitioner 700 Olympic Plaza Cir Ste 407, Tyler, TX 75701-1952 2015-11-10
1053401588 Rebecca A Turner Nurse Practitioner 1133 Medical Drive, Tyler, TX 75701 2006-10-13
1225049083 Alice Meredithe Nix Nurse Practitioner 1530 Ssw Loop 323, Suite 123, Tyler, TX 75701-2562 2006-08-10
1174130462 Jessica Lemoine Phillips Nurse Practitioner 800 E Dawson St, Tyler, TX 75701-2036 2020-09-30
1366051526 Bessie Burchfield Nurse Practitioner 800 E Dawson St, Tyler, TX 75701-2036 2020-07-23
1033739388 Eric Bradley Vogt Nurse Practitioner 800 E Dawson St, Tyler, TX 75701-2036 2020-04-16
1922641299 Marcus Evans Nurse Practitioner 703 S Fleishel Ave, Tyler, TX 75701-2015 2019-10-19
1578105771 Haley Renee Dias Nurse Practitioner 4111 University Blvd, Tyler, TX 75701-6623 2019-10-09
1346718939 Amber Dionne Wood Nurse Practitioner 619 S Fleishel Ave Ste 100, Tyler, TX 75701-2004 2018-11-13
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Competitor

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City TYLER
Zip Code 75701

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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