Healthcare Provider Details

I. General information

NPI: 1639122930
Provider Name (Legal Business Name): WENDI S JOINER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 MESA RD
BOLINAS CA
94924-9713
US

IV. Provider business mailing address

3 6TH STREET
POINT REYES STATION CA
94956
US

V. Phone/Fax

Practice location:
  • Phone: 415-868-0124
  • Fax: 415-868-2152
Mailing address:
  • Phone: 415-663-8666
  • Fax: 415-663-9532

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA88954
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number23011
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: