Provider Demographics
NPI:1902334741
Name:BOLLING, WENDY LEE (RN)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:LEE
Last Name:BOLLING
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:611 E 1ST ST
Mailing Address - Street 2:
Mailing Address - City:NELIGH
Mailing Address - State:NE
Mailing Address - Zip Code:68756-1621
Mailing Address - Country:US
Mailing Address - Phone:402-929-3178
Mailing Address - Fax:
Practice Address - Street 1:1100 T ST
Practice Address - Street 2:
Practice Address - City:NELIGH
Practice Address - State:NE
Practice Address - Zip Code:68756-1027
Practice Address - Country:US
Practice Address - Phone:402-887-5428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-24
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE80574163WH1000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH1000XNursing Service ProvidersRegistered NurseHospice