Provider Demographics
NPI:1144513706
Name:FIELDER, WENDY
Entity type:Individual
Prefix:MRS
First Name:WENDY
Middle Name:
Last Name:FIELDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 MAYFAIR RD
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-1826
Mailing Address - Country:US
Mailing Address - Phone:615-335-3778
Mailing Address - Fax:
Practice Address - Street 1:210 FRANKLIN RD STE 100
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-3218
Practice Address - Country:US
Practice Address - Phone:615-373-8957
Practice Address - Fax:615-376-4161
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-16
Last Update Date:2011-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN10738183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist