Doctor Name: | MRS. WENDY NOEL BEALS |
NPI Number: | 1003041773 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 743620 |
Business Practice Address: | 5 Hilda Way Chico, CA - 959261417 |
Business Phone Number: | 5308993759 |
Business Fax Number: | |
Mailing Address: | 3359 Mabel St, SACRAMENTO |
State: | CA |
Postal Code: | 958384151 |
Phone Number: | 9166289947 |
Fax Number: | |
NPI Enumeration Date: | 05/23/2009 |
NPI Last Update Date: | 05/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH0200X |
License Number: | 743620 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Home Health |
Taxonomy Definition: |