Provider Demographics
NPI:1235924200
Name:LENTZ, WENDI (FNP-C)
Entity type:Individual
Prefix:
First Name:WENDI
Middle Name:
Last Name:LENTZ
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 N DELAWARE DR LOT 88
Mailing Address - Street 2:
Mailing Address - City:APACHE JUNCTION
Mailing Address - State:AZ
Mailing Address - Zip Code:85120-1851
Mailing Address - Country:US
Mailing Address - Phone:815-908-3022
Mailing Address - Fax:
Practice Address - Street 1:1615 N DELAWARE DR LOT 88
Practice Address - Street 2:
Practice Address - City:APACHE JUNCTION
Practice Address - State:AZ
Practice Address - Zip Code:85120-1851
Practice Address - Country:US
Practice Address - Phone:815-908-3022
Practice Address - Fax:815-908-3022
Is Sole Proprietor?:No
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ321902363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily