Provider Demographics
NPI:1033750963
Name:EIDMAN, WENDY MICHELLE (ND)
Entity type:Individual
Prefix:DR
First Name:WENDY
Middle Name:MICHELLE
Last Name:EIDMAN
Suffix:
Gender:
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4329 A ST SE UNIT F
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-8618
Mailing Address - Country:US
Mailing Address - Phone:253-263-2634
Mailing Address - Fax:253-409-2536
Practice Address - Street 1:4329 A ST SE UNIT F
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-8618
Practice Address - Country:US
Practice Address - Phone:253-929-6413
Practice Address - Fax:253-409-2536
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-02
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT61025149175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath