NPI 1003351206

Wendy Lynn Brock, NNP

Practitioner Nurse Practitioner Fayetteville, NC

Practice location

Address: 1638 Owen Dr, Fayetteville, NC 28304-3424
Phone: (910) 615-5490
Mailing address: PO Box 40908, Fayetteville, NC 28309-0908

Registered specialties

Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363L00000X Licence 114762 (NC)

Other Nurse Practitioner providers in North Carolina →

Registry record

NPI: 1003351206
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Dec 2016
Record last updated: 23 Dec 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.