Healthcare Provider Details

I. General information

NPI: 1174078646
Provider Name (Legal Business Name): WENDY PRICE RN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: WENDY AGUILAR, BAKER NP-C

II. Dates (important events)

Enumeration Date: 08/24/2016
Last Update Date: 07/16/2025
Certification Date: 07/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

782 MEDICAL CENTER DR E STE 212
CLOVIS CA
93611-7296
US

IV. Provider business mailing address

PO BOX 889442
LOS ANGELES CA
90088-9442
US

V. Phone/Fax

Practice location:
  • Phone: 559-375-4313
  • Fax:
Mailing address:
  • Phone: 559-603-7372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number95004738
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberNP95004738
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number95004738
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number95004738
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code363LC0200X
TaxonomyCritical Care Medicine Nurse Practitioner
License Number95004738
License Number StateCA
# 6
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number95004738
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: