| Doctor Name: | MS. PATIENCE WENCK |
| NPI Number: | 1124238548 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | APN00263 |
| Business Practice Address: | 1154 Emerald Bay Rd South Lake Tahoe, CA - 961506288 |
| Business Phone Number: | 5305424961 |
| Business Fax Number: | 5305424964 |
| Mailing Address: | 1154 Emerald Bay Rd, SOUTH LAKE TAHOE |
| State: | CA |
| Postal Code: | 961506288 |
| Phone Number: | 5305424961 |
| Fax Number: | 5305424964 |
| NPI Enumeration Date: | 05/23/2007 |
| NPI Last Update Date: | 07/16/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | APN00263 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |