Healthcare Provider Details

I. General information

NPI: 1003041773
Provider Name (Legal Business Name): WENDY NOEL BEALS RN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MRS. WENDY NOEL BINNING

II. Dates (important events)

Enumeration Date: 05/23/2009
Last Update Date: 05/23/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 HILDA WAY
CHICO CA
95926-1417
US

IV. Provider business mailing address

3359 MABEL ST
SACRAMENTO CA
95838-4151
US

V. Phone/Fax

Practice location:
  • Phone: 530-899-3759
  • Fax:
Mailing address:
  • Phone: 916-628-9947
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number743620
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: