Doctor Name: | WENDY ANN WIGMORE |
NPI Number: | 1104050491 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN |
License Number: | 103834 |
Business Practice Address: | 506 Main St Vacaville, CA - 956883922 |
Business Phone Number: | 7074467014 |
Business Fax Number: | 7074461871 |
Mailing Address: | 506 Main St, VACAVILLE |
State: | CA |
Postal Code: | 956883922 |
Phone Number: | 7074467014 |
Fax Number: | 7074461871 |
NPI Enumeration Date: | 05/14/2009 |
NPI Last Update Date: | 05/14/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | 103834 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |