Provider Demographics
NPI:1033510672
Name:RAINIERO, WENDY (BSN, RN)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:
Last Name:RAINIERO
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1834 PINE RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:JANESVILLE
Mailing Address - State:WI
Mailing Address - Zip Code:53545-0774
Mailing Address - Country:US
Mailing Address - Phone:912-424-1940
Mailing Address - Fax:
Practice Address - Street 1:1834 PINE RIDGE DR
Practice Address - Street 2:
Practice Address - City:JANESVILLE
Practice Address - State:WI
Practice Address - Zip Code:53545-0774
Practice Address - Country:US
Practice Address - Phone:912-424-1940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-15
Last Update Date:2014-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI193510-30163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse